Bethel Youth Registration with EWA

Hello, Empire Wrestling and Bethel Wrestling are pleased to announce our partnership with Bethel Youth Wrestling!

Venue: Danbury location at 4 Eagle Rd. Danbury CT

Schedule: Nov. 1, 2019 - Feb. 1, 2020

MON: 5:30 - 6:50 pm Combined with EWA members
TUES: 5:30 - 6:50 pm **Exclusively Bethel**
WED: 5:30 - 6:50 pm Combined with EWA members

Payment Options:

You will have the option of paying all at once or making monthly payments. If you choose to do monthly payments, we will contact you to get your cc information to keep on file.

While Empire prides itself on the cleanliness of its facilities, it is a best practice for all wrestlers to wash with Defense soap and/ or use Defense wipes after mat time to proactively protect against skin-related issues. Wipes can be bought at our facility.

If you have any further questions please contact Shana at 914.648.0777 or email at sleone@empirewrestlingacademy.com

PAYMENT OPTIONS:

LUMP SUM: $345 (CC, CASH, or CHECK)

MONTHLY x3 payments: $125 (CC only- on autopayment for payment 2 & 3)
Monthly Payment $115 +$10 processing fee(will be billed 2 more times on AutoPay)

Student Name (Athlete) *

Parent Name *

Parent E-mail *

Parent Cell Phone *

Athlete DOB *

Date Date Picker Icon

Approximate Weight dressed with headgear. *

Rank Wrestler's Ability *

	1	2	3	4	5

1 is NOVICE, 5 is STATE CHAMP

I have read and understand the waiver and rules *

Clear

My Products *

Full Price $ 345.00

Monthly Payment $115 +$10 processing fee(will be billed 2 more times on Auto Pay) $ 125.00

Defense Wipes $ 10.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code