Registration

Who:	Children born between January 1, 1993 and December 31, 2002 (Ages 5 to 14)
Registration Fee:	$75.00 - Deduct $10.00 for each additional child registered. (Make Checks Payable to Lacey Youth Wrestling Club)

First year wrestlers will need a copy of their birth certificate.

For more information, call Shane Campana at (732) 232-4689

Fill out ALL THREE of these forms and mail them, along with a $75.00 per child (Deduct $10.00 for each additional child registered) check made payable to "Lacey Youth Wrestling Club" to:

Lacey Youth Wrestling Club
c/o Shane Campana
1227 Taylor Lane
Forked River, NJ 08731

LYWC Registration Form (PDF)
USA Wrestling Parents' Instruction on Medical Treatment (PDF)
USA Wrestling Medical Waiver (PDF)