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REVERENCE GRAPPLING CLINIC
$60 Registration — Pay at the Door
Clinic Sessions include Offensive, Defensive & Conditioning...
Athletes Name 1
*
First
Last
Age
*
Athletes Name 2
First
Last
Age
Athletes Name 3
First
Last
Age
Athletes Name 4
First
Last
Age
Athletes Name 5
First
Last
Age
Emergency Number
*
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Guardian Information - For all athlete's under 17 years of age.
Please enter parent or legal guardian information here
Name
First
Last
Phone
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Email
Address
Street Address
City
State / Province / Region
Postal / Zip Code
