Sask Wrestling Registration Form

ALL PAYMENTS DUE WITH REGISTRATION
Participants have no insurance coverage until completed form and fee are submitted

Membership Category:
Please select one of the following membership categories:

ALL WRESTLERS, COACHES, AND OFFICIALS MUST BE SAWA MEMBERS. COACHES MUST WEAR
THEIR COACHING CARDS AT COMPETITIONS. FEES INCLUDE CAWA $10 MEMBERSHIP SURCHARGE.

Coach	$70.00	(individual) NCCP #: *
Official	$70.00	(individual)
Patron	$70.00	(individual)
If the Coach, Official, or Patron category is selected then no guardian information is required.
Senior Athlete	$60.00	(20 years and older, born in 1992 and before)
Junior Athlete	$60.00	(19-20 years, born 1993-1994)
Juvenile Athlete	$60.00	(17-18 years, born 1995-1996)
Cadet Athlete	$60.00	(15-16 years, born 1997-1998)
Bantam Athlete	$40.00	(born 1999-2000)
Pee Wee Athlete	$40.00	(born 2001-2002)
Novice Athlete	$40.00	(born 2003-2004)
Freshie Athlete	$40.00	(born 2005 or later)
Non-Competitive	$10.00	(Non-competitive/Learn to Wrestle for Freshie, Novice, Pee Wee, Bantam, Cadet, and Juvenile age wrestlers)

Member/Athlete Information:

First Name: *		Last Name: *
Address: *
City: *		Postal Code: * (no spaces)
Home Phone: *	() -	Work Phone:	() -
Cell Phone:	() -
Email: *	@
Birth Date: *	/ / dd mm yyyy	Gender: *	Male Female
Coach's Name: *
Club Name: *	If you do not belong to a club please enter Unattached for your Club Name

VOLUNTARY SELF-DECLARATIONS: The following information is optional. This information is important for Sask Sport purposes and would aid in application and follow-up procedures. Please check one or more if applicable:
Visible Minority Aboriginal Disabled
Please choose which one of the following is most applicable to your aboriginal ancestry: Status Non-Status Métis not applicable

Hospitalization #: *
Copy of Birth Certificate or Saskatchewan Hospitalization card is mandatory for accurate age.

Emergency/Parent/Guardian 1 Information:

First Name:		Last Name:
		Gender:	Male Female
Address:
City:		Postal Code: (no spaces)
Email:	@
Phone:	() -	Category:	Parent Guardian Emergency Contact

Parent/Guardian 2 Information:

First Name:		Last Name:
		Gender:	Male Female
Address:
City:		Postal Code: (no spaces)
Email:	@
Phone:	() -	Category:	Parent Guardian

Use of Image:

I hereby grant Saskatchewan Amateur Wrestling Association to use at their sole discretion any information and/or photographs of or about myself for publicity, advertising or other promotion. I understand that this may include written, pictorial, or video material.: *
Yes No

I hereby confirm that I have read the SAWA Privacy Policy and consent to the collection and use of my personal information as described within the provisions of the SAWA privacy policy (link opens in a new tab/window): *
Yes No