***TEAM MATRIX * * * *** A LEVEL ABOVE THE REST***

Becoming A Matrix Member, "Registration Form"

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We are always looking for people interested in joining our wrestling club.

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Who Can Join?
Our club is open to all wrestlers who want to better themselves. From Novice to Elite. We have no boundaries.

Join Team Matrix!

Benefits of Joining

There are several benefits to becoming a member of Team Matrix.
(1) To learn technique that works at the World and National level
(2) Have partners that are National Class athletes
(3) Provide the best Clinicians
(4) Attend National Tournements
(5) Duel Meet Tournements
(6) Matrix is one of the top clubs in the State
(7) A Winning Attitude

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How Can You Join?
You may print this application form, come to the site, or print the other applications on our Home website:

REGISTRATION FORM

Matrix Registration Form

(All Members must have a Current USA Card Year 2004-2005 May Purchase at sign up

Pick the site location and the Sessions you would like to join, add up the costs, then mail the registration form to the address below.

Club Site

Cost

Cost of USA CARD

Bethlehem Catholic - Session     1.Fall ..........................

2. Winter......................

3. Spring..........................

$165.00

$30.00

 

 

 

 

 

 

 

 

Schukyll Valley Session I.Fall ...........................................

2. Winter.....................................

3. Spring......................................

4. Summer...................................

$110.00

 

Discount for teams often wrestlers/Per Wrestler

- $10.00

List School's Name

Discount For Second Child Per Family

- $10.00

Third Child Free Per Family..................................

FREE

Make Checks Payable to Matrix Wrestling Club

Total Amount_______Cash ______ CHECK#_______

SEND TO: Matrix Wrestling, 3546 Broadway, ALLENTOWN, PA. 18104

PHONE: (610) 391-8915 ask for BILL ALLEN

WEB PAGE: https://matrixwrestlingclub.tripod.com/

E-mail: mailto:matrixmatclub@yahoo.com

Name:_______________________________________

Address:______________________________City____________________________

State__________Zip:___________Telephone____________________

E-mail Address:________________________________

Grade______ Birth Date__________Age__________ Weight________

School_____________________________

USA CARD NUMBER:__________

I grant permission my son/daughter to participate in the Matrix Wrestling program and agree to hold harmless all coaches, officers, and the __________________School District in the event of injury, which could occur during their participation in the sport of wrestling. Further, I/ we authorize the Matrix wrestling representatives to provide emergency treatment of injury and or illnesses of my/our child if qualified medical personal consider treatment necessary. This authorization is granted only if I/we cannot be reached.

Wrestlers Signature: _____________________ Date:_________

Parent/ Guardian Signature:___________________________ Date_______________

To join we need a completed application and membership dues for the first session. Please contact us for more information.

Matrix Wrestling Club* 3546 Broadway* Allentown, PA. * US * 18104