Jr Grappler
Sign up FORM

Instructions

Please use this form to begin the Pure Pro Wrestling Junior Grappler training program sign up process.

Step One: Please provide you and your grappler information by completing the form

Step Two: You will receive an email confirmation

Step Three: Someone on our staff will contact you for your Junior Grappler new student oritnataion.

Please fill each section carefully.

Please consent to the Activity Waiver, Media Release, and Parent Background Check. More information will be provided after your sign up is completed.

Welcome to the Pure Pro Wrestling family!

Junior Grappler Wrestling Training Sign Up Form:

Your Junior Grappler's Information

First, please provide your Junior Grappler's information:

Your Junior Grappler's First Name

Your Junior Grappler's Last Name

Your Junior Grappler's Birth Date (MM/DD/YYYY)

Your Information

Next, please provide your information, as parent or guardian:

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian E-mail

Parent or Guardian Telephone

Parent or Guardian Address (line 1)

Parent or Guardian Address (line 2 - apartment number)

Parent or Guardian City

Parent or Guardian State

Parent or Guardian Zip Code

Emergency Contact Information

Next, please provide your emergency contact information.

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email

Terms and Conditions

Finally, please accept the terms below and verify that you are under 18 years old.

I accept the terms of the PPW Activity Waiver
I accept the terms of the PPW Media Release
I consent to a background check, if needed
I am under 18 years old

Jr Grappler Sign up FORM