OKLAHOMA KIDS WRESTLING ASSOCIATION, INC.
MEMBER CLUB DATA

CLUB FORM 1A

REGION:____________  DATE:  _________

CLUB NAME:

CLUB MAILING ADDRESS:

Please give complete address

 

Address:

City, State, Zip:

MEMBER TO CONTACT:

PHONE NUMBER:  (HOME):  (  )  -   (BUSINESS):  (  )  - 

HEADCOACH:  PHONE #:  (  )  -  

COACH’S ADDRESS:

Address:

City, State, Zip:

NAME AND ADDRESS OF PRACTICE SITE:

 

Name:

Address:

City, State, Zip:

Email Address:

COMMENTS TO STATE PRESIDENT FOR REVISIONS TO BYLAW, ETC:

 

 

 

 

 

 

 

 

 

 

 

 

 

REGIONAL DIRECTOR NOMINATION:  ____________________________