Titan Worldwide Online Registration 2011 | Titan Worldwide Wrestling Club

"Summer Wrestlers Make Winter Champions"

Please complete all fields in this registration form before submitting your registration. Registration is not complete until payment is made in full. Send payment to:

TITAN Wrestling
25 High School Drive
Penfield, NY 14526

USAW Card#: *

Enter your current USA Wrestling card number. If you do not have a USAW card, please visit the USA Wrestling Membership site for more information on how to obtain your USAW card.

First Name: *

Last Name: *

Birth Date: *

Address: *

Enter street address.

High School: *

Enter school you wrestled for this past school year.

City: *

Enter city/town.

State: *

Zipcode: *

Emergency Phone: *

Enter a number we should call in the case of an emergency. xxx-xxx-xxxx

Home Phone: *

xxx-xxx-xxxx

Mobile Phone:

xxx-xxx-xxxx

E-mail: *

Parent/Guardian First Name: *

Enter the first name of a legal parent or guardian of this wrestler.

Parent/Guardian Last Name: *

Enter the last name of a legal parent or guardian of this wrestler.

T-Shirt Size: *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.