Wrestling Manitoba - Membership and event registration

Are you a new or renewing member? *

I am new to Wrestling Manitoba
I am already a member or am renewing my membership
with Wrestling Manitoba

First Name *

Last Name *

Gender *

Male Female

Date of Birth * (YYYY-MM-DD)

/ /

Profile Photo

Full Mailing Address - Street Address *

Address 2

City *

Province/State *

Country *

Postal Code *

Individual Email * Opt in to emails

Phone * - International Number

Cell Phone - International Number

Indigenous Status

None First Nations Metis Inuit

Membership type *

Category *

I give MAWA permission to my/my child's photo for media releases or publicity purposes *

I would like my email address to added to the MAWA contact list so that i may receive communications such as newsletters, event flyers, etc. *

Yes No

Membership type *

Membership type *

I have read and agree *
WAIVER AND RELEASE OF LIABILITY

I have read and agree *
COVID Waiver

I have read and agree *
MAWA Code of Conduct and Ethics

Digital signature (type your name exactly as entered above "registrants name") *

WAMMA Niverville