Team Georgia National Teams Wrestler Application



Wrestler Information
USA Card Number:
First Name:
Middle Name:
Last Name:
Gender:
Weight:
Date of Birth: / /
Grade:

Contact Information
Parents Name:
Address 1:
Address 2:
City:
State: Georgia
Zip: -
Email:
ALt Email:
Main Phone: - ext
Alt Phone: - ext

Affiliation Information
Club:
Schools Name:

Uniform Information
T-Shirt:
Shorts:
Jacket:
Sweat Pants:
Singlet:

Please Note: Not all teams come with TGA gear, & not all of the items we are asking for sizes will be provided for all events




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