APPLICATION FOR OREGON JUNIOR NATIONAL TEAM

This application is to be filled out by anyone wanting to be considered for the Oregon Junior National Wrestling Team (including Regional Qualifiers and State Champions).  Applications will not be accepted after April 15th.

FREESTYLE                    GRECO~ROMAN                    BOTH           

Name:                                                                     

Address:                                                                  

Phone:                                 Email:                           

School/Club:                                                             

Wt Class petitioning for:            Date of Birth        

USA Wrestling Card #                                       

T-Shirt Size:    S    M    L    XL    XXL

Shorts:            S    M    L    XL    XXL  Waist         

Singlet:            S    M    L    XL    XXL

Warm Ups:      S    M    L    XL    XXL

Running Shoe:            Wrestling Shoe:           

On the back of this form, please list previous wrestling accomplishments and/or other factors that would give reason for you to be chosen onto this team.

** Return this form to Steve Lander at the tournament site or mail the form to the address below, by April 15.

Steve Lander, Oregon Junior Director, 7459 Roberts Creek Rd, Roseburg, OR 97470