Apex Wrestling Camp
Apex Youth Club: November 13-February 28 - $125



Registration is a two step process. Fill out the registration form below. After you hit submit, you will be forwarded to another page that you can print for your records. Print that page and then click the link at the bottom of that page to continue. This will allow you to finish the second step which is your online payment provided by Pay Pal.
Wrestler Information
First Name
Last Name
Street
City St Zip
Email Address
Phone Number

Grade DOB Weight T-Shirt Size

School

 
Emergency Contact Information
Person to Notify
Phone Number
Family Doctor
Phone Number
Insurance Provider
Policy Number
NYWay Card:

 
Payment Information
Name of
Person Paying
NOTE: This information will identify payment for this registration. Please type the Google Checkout account holder. If you do not have a free Google Checkout account, then enter the name on the credit/debit card of the person that is paying.

Allergies/Medications
 
 

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