First Name (required)
Last Name (required)
School
Address Line 1 (required)
Address Line 2
City (required)
State (required)
Postal Code (required)

Home Phone Area Code (required)
Home Phone Number (required)
Parent Cell Area Code (required)
Parent Cell Phone Number (required)
Age:
Weight: Grade Next Year:
Years Wrestling: T-Shirt Size:

Email Address (required)

Session:
School Level:
Please print out completed form and send in with payment, make check out to: Strong Island Wrestling

Mail to: Strong Island Wrestling

PO Box 4462

Hempstead, NY 11551

~ ~ Click on Submit Button Below For Entry Into Class List, Payment Is Required To Hold Reservation ~ ~
NOTE 1: Under 18 must have a parent/guardian sign medical waiver form before participating. See Clinic section for that form.

Additional Comments

Refund Policy:

Strong Island Wrestling clinic refund and credit policy: Refunds are not available after the first week of the clinics start date. Anyone who wants a refund must put it in writing stating the reason. These documents must be submitted before the end of the first week of the clinics start date. If it is for medical reasons they must have a note from the doctor along with the letter. We will give credit for future clinics within the first three weeks if it is for medical reasons. You must submit a letter before the end of the third week of the clinic start date to receive a credit. After three weeks of the clinic starting we will not refund or credit any individual or group.

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