Participant's Name:   
Street Address:  
City:         State:                       Zip Code:               

Telephone:  (including area code)                -       -      
Email Address:               

Current Grade:  Select One Pre-K Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
Age:               
Date of Birth:   Select One January February March April May June July August September October November December   /   Select One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   /  Select One 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005  

Name of School: 

Division:  Select One Bantam - Age 8 or under Midget - Age 9-10 Cadet - Age 11-12 (No 7th graders allowed) Junior High - Grades 7-8 Intermediate - Grades 9-10 Senior High - Grades 11-12
Weight:  Select One 40 45 50 55 60 65 70 75 80 85 90 95 100 105 106 108 112 115 119 120 123 125 130 135 138 140 145 150 155 160 170 180 189 190 215 UNL

Note: Participants may enter two different divisions, but they may not enter two weight classes in the same division.
If you want to enter two divisions, please complete the Additional Division and Additional Weight fields.  If not, please leave blank.

Additional Division: Select One Bantam - Age 8 or Under Midget - Age 9-10 Cadet - Age 11-12 (No 7th Graders Allowed) Junior High - Grades 7-8 Intermediate - Grades 9-10 Senior High - Grades 11-12
Additional Weight:  40 45 50 55 60 65 70 75 80 85 90 95 100 105 106 108 112 115 119 120 123 125 130 135 138 140 145 150 155 160 170 180 189 190 215 UNL Select One

Parent / Guardian Name: 
The above named Parent/Guardian gives this athlete permission to wrestle in the 2008 Lock Haven Fall Classic and releases all sponsoring bodies, their officers, tournament officials, committees and referees from all liability.

After clicking on the Submit button, you will be directed to the credit card payment page. 
Only those registrations paid in full with a credit card will be accepted as online registrations.

Back to Home Page