Lenape Junior Wrestling

Training for the Rest of Your Life

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Online Registration

2018-19 Registration Is Now Open!!

Please Register Online Using the Form Below

Lenape Wrestling Program Registration (2018-2019 Season)

Number of Children Registering
Number Registering:*
- 1 Child
- 2 Children
- 3 Children
Registration Fee
$0.00
Child's Information
Name*
First Last
Attending School*
Grade*
Birthdate*
MM
DD
YYYY
Weight (est.)*
Years of Experience*
Second Child's Information
Name (Child 2)*
First Last
Attending School (Child 2)*
Grade (Child 2)*
Birthdate (Child 2)*
MM
DD
YYYY
Weight (estimate) Child 2*
Years of Exp. (Child 2)*
Third Child's Information
Name (Child 3)*
First Last
Attending School (Child 3)*
Grade (Child 3)*
Birthdate (Child 3)*
MM
DD
YYYY
Weight (estimate) Child 3*
Years of Exp. (Child 3)*
Child's Address
Address*
Street Address City ZIP Code
Parent Information
Registering Parent/Guardian Name:*
First Last
Mother's Name
Father's Name
Emergency Contact Name*
Emergency Relation to Child*
Home Phone*
Parent Cell
Emergency Phone*
Parent Email*
Team Clothing Information
Tee Shirt*
Shorts/Sweatpants*
Singlet Size*
Team Clothing Information (Child 2)
Tee Shirt (Child 2)*
Shorts/Sweatpants (Child 2)*
Singlet Size (Child 2)*
Team Clothing Information (Child 3)
Tee Shirt (Child 3)*
Shorts/Sweatpants (Child 3)*
Singlet Size (Child 3)*
Waiver
I/We the parent(s)/guardian(s) of the above-named child or children, who is a candidate for a position on the Lenape Jr. Wrestling Association team, do hereby give my/our approval to his/her participation in all of the activities of the Lenape Jr. Wrestling Association during the current season. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from the associated activities. I/We do hereby release, absolve, indemnify, and hold harmless the Lenape Jr. Wrestling Association, as well as the organizers, sponsors, volunteers, coaches, supervisors, and school officials. In case of injury to my/our child or children, I/We hereby waive all claims against the organizers and any of supervisors /coaches / assistants appointed by them. I/We likewise release from responsibility any person(s) transporting my / our child or children to and from the activities of the Lenape Jr. Wrestling Association. I/We will furnish a birth certificate for the above named candidate(s) upon request of the League Officials. To date, I/We have no knowledge of any medical problems or conditions that might endanger or preclude my/our child's or children's participation in the activities of the Lenape Jr. wrestling Association. Any other medical conditions which I agree are not serious enough to preclude my/our child's or children's participation in the Lenape Jr. Wrestling Association, are noted below. If the participant is currently under a doctor's care, I/we will consult with the participating child's or children's physician prior to participation. I/We agree that I/we will not permit our child or children to wear or to use any uniform furnished to him/her, except for the purpose of the matches/events sponsored by the Lenape Jr. wrestling Association, for practice sessions, or public affairs when the said uniform will be expressly specified by the Association's coaches/supervisors. I/We will be held responsible for the cleaning and upkeep of said uniform to the Lenape Jr. Wrestling Association by the required date, or I/we agree to pay $40.00 for replacement of my/our wrestling uniform.
Signature
Parent/Guardian Signature: (I have read and agree to adhere to the terms above):*
***LENAPE JR WRESTLING IS NOT AFFILIATED WITH MOUNT LAUREL LRHSD SCHOOL DISTRICTS OR ANY OTHER DISTRICTS***
Medical
Does your child have any existing medical conditions?*
- No
- Yes
Explanation of Medical Conditions:*
Payment: (by PayPal, Debit Card, or Credit Card)
The fee to register for the Lenape Jr Wrestling program for the season is reflected below. After hitting the submit button, you will be redirected to PayPal where you can pay using PayPal or with a major credit card. If you choose to pay with a credit card, please select the link "Do not have a PayPal Account?" or "Create a PayPal account and pay with your debit or credit card" where you will be able to pay using a debit or credit card. PLEASE NOTE: If you DO NOT complete payment transaction after submission, your registration will NOT be processed.
Lenape Jr Wrestling Registration Fee (1 Child)
Price: $125.00
Lenape Jr Wrestling Registration Fee (2 Children)
Price: $225.00
Lenape Jr Wrestling Registration Fee (3 Children)
Price: $325.00
Without Your Help We Cannot Exist
Our program is run by dedicated people who volunteer their time and services to keep the program running smoothly for our children. We ask all parents to volunteer some limited time during the course of our season. Would you kindly specify in which areas you would be willing to volunteer?
Areas of Need (May check more than one)*
- Coaching (prior experience not required)
- Running Concessions at Home Matches
- Helping Keep Score at Tables at Home Matches
- Helping with Matchman Software for Matches
- Organizing Concessions for Home Matches
- Helping Set Up Mats for Home Matches
- Helping with our Major Fundraising Tournament
- Assisting with Admin. and Fiscal Mgmt.
- Helping Parent Team Clothing Purchase Orders
How Did You Hear About Us?
Please Select*
If "Other" please explain.*
Wait After Hitting Submit Button!! You will be Redirected to Payment Site (where you may pay using Major Credit Card, Debit, or PayPal).

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