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Wrestler's information

Does the Lebanon Mat Club have your permission to post images/videos of your wrestler to our social media account(s) and website?

Parent/Guardian #1 Information                                                          1st Emergency Contact

Parent/Guardian #2 Information                                                        2ND Emergency Contact

eMergency contact information                                                        two people other than the parent(s)/guardian(s) listed in the prior sections

medical information                                                          Please fill out all information regarding your participant. All information will be kept confidential.

Is your wrestler currently on any medication?
Does your wrestler have any allergies?
Please read the alternative statements below concerning the medical attention of your participant. (CHOOSE ONLY ONE)

Your wrestler has been successfully registered!

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