Washington Open Team Application 2003

Remember : This must be postmarked no later than March 31^st, 2003
Note: Be sure you have read the team information Sheet

Please fill out the form completely. (You may use the back of this sheet.)

Name: Date Of Birth:
Address:
City: State: Washington Zip:

Phone #’s – (Be sure I have a phone number where you can be reached)
Home:
Work:
Message:

Number of years I have wrestled
Weight Class: Current Weight:
Wrestling History:
Collegiate Competition:

Years wrestled in High School Where:
State Titles or placements:
Years:
Years wrestled in college / university:
Where:
Conference Championships or placements:
Years:
National Titles of All American placements:
Years:
National or International Competition:
Greco-Roman / Freestyle

National or International placement:
Years:
(include Years and Age division. Cadet, Junior, University/Espoir, Open)



Club or School Affiliation:
Coaches: Phone #
Coaches: Phone #

2003 Wrestling Achievements (tournament placing, season records, honors, etc. Be specific) PLEASE USE THE BACK OF THIS FORM TO COMPLETE THIS. NOTE: YOU MUST BE OUT OF HIGH SCHOOL

I , will abide by the WSWA Athlete code of conduct. I will meet all deadlines set forth, understanding missing deadlines or the trip may result in my removal from the team and/or forfeiture of my athlete’s fee with no reimbursement.


Athletes Signature Date

Mail application to: Larry Gibson
4502 – 35^th, Ct. S.E.

Lacey, WA. 98503

Cell (360) 431-4494
or

Message phone (leave message) (509) 422-2803