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 AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Email Address Phone Number Grade --- 2 3 4 5 6 DOB Weight T-Shirt Size --- YS YM YL AS AM AL AXL AXXL 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 None.