MISSOURI USA WRESTLING INFORMATION SHEET
Junior/Cadet

First Name:	Last Name:
Date of Birth:
USA Card Number:
Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
Can You Receive Text Messages:	Yes No
Parent/Parents Names:	Mobile Phone: Mobile Phone:
E-mail Address:
Other E-mail Address:
Grade Level for 2007-2008 School Year:	12th 11th 10th 9th   Projected Graduation Date:
High School You Attend:	Name: Address: Phone Number: Wrestling Coach: Phone: Counselor: Phone: Athletic Director: Phone: Current GPA: ACT Score: SAT Score:
Please list your High School (9th-12th only) Wrestling Accomplishments:

Freshman:

Sophomore:

Junior:

Senior:

Today's Date: