NEW MEMBERS

Please fill out the MWA New Members form so we can get a better understanding of your athlete and there goals.

Athlete Full Name*

Parent Full Name*

Gender*

Wrestler's Current Weight*

Wrestler's Date of Birth*

Wrestler's Grade*

Address*

Phone Number*

Email*

What is your current fitness level?*

What is your wrestling experience prior to Moen Wrestling Academy?*

Provide Trackwrestling Profile*

Why do you want to join Moen Wrestling Academy?*

What are your short term goals in wrestling? (learn basic techniques, compete in tournaments, etc)*

What are your long-term goals in wrestling? (Scholarships, professional wrestling, etc)*

Do you have any medical conditions or injuries we should be aware of? If Yes, please describe.*

Are you currently taking any medication? If yes, please specify.*

How did you hear about Moen Wrestling Academy?*

Confirmation