Olympic Wrestling Club SA
APPLICATION/REGISTRATION
FORM FOR MEMBERSHIP
SURNAME
.
Date:
.
FIRST NAME
.
POSTAL ADDRESS
.
..
..
TELEPHONE (HOME)
..
(WORK)
...
(
EMAIL ADDRESS
...
DATE OF BIRTH
. Weight
-----------------------------------------------------------------------------------------
Fees for Membership:
$10.00 Joining Fee + $20.00 per quarter coaching
fee.
The above fees are compulsory and are made up of Insurance and affiliation
fees to the South Australian Amateur Wrestling
Assoc.
The first two
sessions are free with no obligation to join.
The Joining Fee + $20.00 for the first quarter payment is required thereafter, and should be paid within 3 weeks of
joining the club.
Medical Conditions:
.
Current or Past Injuries
Current fitness level:
(Poor) 1 2
3 4 5 (Good)
Other current participating sports
.
How did you hear about Wrestling Academy SA?
...
..
Have you done wrestling before? Details:
.......
..
Applicant Signature:
.
(Parent to sign,
if applicant is under 18 years old)
Office Use Only: Exp. Date _____________