SCVWA Home Page > Membership Form

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California USA Wrestling Membership Form


First Name 		 
Last Name 		 
State Use Only
USAW Card Number

_______________
 

Club Affiliation

Month
Day
Year		    
Date of Birth

Address

City		  
State		  
ZIP		  
Phone

USA Wrestling Card: $30.00 (one time)
SCVWA Tournament entry fee: $10.00
Pay at tournament with cash or check to SCVWA