Trackwrestling Registration

Registration
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* First Name:
* Last Name:
* Birth Date ( MM / DD / YYYY ): * Birth Date:	/ /
Date of birth is extremely important to enter correctly. It will be used to place you into the correct division when you attend tournaments. Please make sure it is entered correctly.
* Team:
* Hometown:
* State:
* Email:
Username:
Password:
Repeat It:
USA Card No:
AAU Card No:
NUWAY Card No:
Approximate Weight:
Grade: