ADDRESS *

YEARS WRESTLING

EMERGENCY CONTACT -2- *

PARENT / GUARDIAN -1- *

AGE *

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MEDICAL CERTIFICATION *

ATHLETE'S NAME *

RELEASE #3 *

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RELEASE #2 *

PARENT / GUARDIAN -2- *

PARENT / GUARDIAN -2- *

PHONE NUMBER *

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APPROXIMATE WEIGHT *

MOTOR CITY WRESTLING CLUB

CHIPPEWA VALLEY HIGH SCHOOL

18300 19 MILE ROAD, CLINTON TWP., MI 48038

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GRADE: *

STEP 3

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REGISTER NOW FOR 2024/2025!

MOTOR CITY WRESTLING CLUB'S FOLKSTYLE SESSION

STEP 2

fill out and submit registration form below

STEP 1

PREPAY $150 REGISTRATION FEE THROUGH PAYPAL

MYWAY Registration, Club T-Shirt, and Team Photo are Included in the Registration Fee