Gold Rush Camps

Athlete Name

First Name

Last Name

Athlete Weight

Athlete Age

Athlete USA Wrestling Card Number

Does Athlete have any medical conditions that the coach needs to be aware of?

This will not be shared publicly in any way.

Parent Name (AKA Emergency Contact)

Parent Email

Parent Phone

(###)

###

####

Current Insurance (No Number Needed)

Would you like to purchase a Camp Shirt?

Yes