Registration - 01 - BTC Membership Registration Form
01 - BTC Membership Registration Form

PLEASE READ ALL INFORMATION CAREFULLY

 

Welcome to Botetourt Training Center (BTC). We appreciate your interest in our training sessions and your commitment to creating better wrestlers. These session fees allow for BTC to operate, cover expenses, and train your athlete. You are able to pay via PayPal, credit card through PayPal, cash, or check. You are required to provide an email address, cell phone number, and service provider. You will register (registration tab) only one time. Your initial session will be the only time you register your athlete when you select and pay for your first session. After initial registration your fees for the next training session will be found in the team store (tab in menu bar) and you will select your session and pay from the team store. YOU WILL NOT REGISTER A SECOND TIME. Again, you can pay fees with PayPal, credit card through PayPal, check, or cash. All other additional sessions after initial registration will be selected and paid for through the team store tab, please make note.
 

**YOU WILL PURCHASE YOUR USA WRESTLING MEMBERSHIP CARD YOURSELF. FOLKSTYLE ONLY CARDS ARE $18.00. FULL ATHLETE FOR FOLKSTYLE, GRECO-ROMAN, AND FREESTYLE ARE $47.00. BEGINNERS ONLY NEED TO GET THE $18.00 USA MEMBERSHIP CARD. THIS MEMBERSHIP CARD IS NOT INCLUDED IN TBWC/BTC SESSION DUES. IT IS REQUIRED TO PARTICIPATE. THIS CARD CARRIES WITH THE ATHLETE AND IS NOT OWNED BY TBWC.

 

PURCHASE USA WRESTLING CARDS AT THE FOLLOWING WEBSITE:

 

www.usawmembership.com

 

YOU WILL START AN ACCOUNT AND PURCHASE YOUR MEMBERSHIP. YOU WILL MANAGE YOUR OWN MEMBERSHIP. YOU CAN UPGRADE OR DOWNGRADE ON YOUR OWN. YOU WILL AFFILIATE YOURSELF TO "Team Botetourt Wrestling Club"

 

REGISTERING MULTIPLE ATHLETES:

 

COMPLETE REGISTRATION FORM BELOW FOR THE 1ST ATHLETE. ADD IN COMMENTS SECTION THE NAME, DATE OF BIRTH, HEIGHT, WEIGHT, GRADE LEVEL, AND SHIRT SIZE OF ALL ADDITIONAL ATHLETES. SELECT THE PROPER MULTIPLE ATHLETE PACKAGE LISTED FOR EACH SEASON. YOU WILL THEN PROCESS PAYMENT VIA PAYPAL OR CLICK "PRINT FORM AND PAY WITH CHECK" AND BRING A CHECK TO THE NEXT PRACTICE SESSION.

 

ALL TIMES, SCHEDULE, TOURNAMENTS, LOCATION ADDRESS, AND SUPPORT LINKS ARE LOCATED ON THE WEBSITE.

Name
Address
City, State Zip
Phone
Email
Athlete Date of Birth
Parent/Guardian Name
Cell Phone
Cell Phone Service Provider
Height
Weight
Grade Level
Shirt Size
Comments

MULTIPLE SIBLING MEMBER DISCOUNT PACKAGES AVAILABLE. MUST BE FROM THE SAME FAMILY LINE. SEE SESSION SELECTIONS BELOW FOR MULTIPLE ATHELTE REGISTRATION PACKEAGES WITH DISCOUNTS.

 

1ST CHILD = FULL PRICE

 

2ND CHILD = 50% DISCOUNT

 

3RD CHILD = 75% DISCOUNT

 

4TH CHILD & UP = 75% DISCOUNT

 

FUNDRAISING OPPORTUNITIES ARE AVAILABLE. SEE DESCRIPTIONS BELOW.

ANNUAL MEMBERSHIP
$850.00
PAY ANNUALLY. This membership includes access to the facility, all training (4) Seasonal Training Sessions. You will receive an annual renewal invoice via PayPal. This fee can be paid on PayPal with a credit card or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 2) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
ANNUAL MEMBERSHIP - 1 ATHLETE
$1,275.00
PAY ANNUALLY. This membership includes access to the facility, all training (4) Seasonal Training Sessions. You will receive an annual renewal invoice via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 2) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
ANNUAL MEMBERSHIP - 2 ATHLETES DISCOUNT
$1,487.50
PAY ANNUALLY. This membership includes access to the facility, all training (4) Seasonal Training Sessions. You will receive an annual renewal invoice via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 2) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
ANNUAL MEMBERSHIP - 3 ATHLETES DISCOUNT
$1,700.00
PAY ANNUALLY. This membership includes access to the facility, all training (4) Seasonal Training Sessions. You will receive an annual renewal invoice via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 2) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
ANNUAL MEMBERSHIP - 4 ATHLETES DISCOUNT
SPRING TRAINING SESSION
$225.00
SPRING SESSION: MARCH - MAY This membership includes access to the facility, all training for the spring training session. You will receive a renewal invoice for the following training session and fee via PayPal. This fee can be paid on PayPal with a credit card or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered and does not cover tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR SPRING SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SPRING SESSION - 1 ATHLETE
$337.50
SPRING SESSION: MARCH - MAY This membership includes access to the facility, all training for the spring training session. You will receive a renewal invoice for the following training session and fee via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered and does not cover tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR SPRING SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SPRING SESSION - 2 ATHLETES DISCOUNT
$393.75
SPRING SESSION: MARCH - MAY This membership includes access to the facility, all training for the spring training session. You will receive a renewal invoice for the following training session and fee via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered and does not cover tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR SPRING SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SPRING SESSION - 3 ATHLETES DISCOUNT
$450.00
SPRING SESSION: MARCH - MAY This membership includes access to the facility, all training for the spring training session. You will receive a renewal invoice for the following training session and fee via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered and does not cover tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR SPRING SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SPRING SESSION - 4 ATHLETES DISCOUNT
SUMMER TRAINING SESSION
$150.00
SUMMER SESSION: JUNE - JULY This membership includes access to the facility, all training for the summer training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $450.00 YOUR SUMMER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SUMMER SESSION - 1 ATHLETE
$225.00
SUMMER SESSION: JUNE - JULY This membership includes access to the facility, all training for the summer training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $450.00 YOUR SUMMER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SUMMER SESSION - 2 ATHLETES DISCOUNT
$262.50
SUMMER SESSION: JUNE - JULY This membership includes access to the facility, all training for the summer training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $450.00 YOUR SUMMER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SUMMER SESSION - 3 ATHLETES DISCOUNT
$300.00
SUMMER SESSION: JUNE - JULY This membership includes access to the facility, all training for the summer training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $450.00 YOUR SUMMER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
SUMMER SESSION - 4 ATHLETES DISCOUNT
FALL TRAINING SESSION
$225.00
FALL SESSION: AUGUST - OCTOBER This membership includes access to the facility, all training for the fall training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR FALL SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE..
FALL SESSION - 1 ATHLETE
$337.50
FALL SESSION: AUGUST - OCTOBER This membership includes access to the facility, all training for the fall training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR FALL SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
FALL SESSION - 2 ATHLETES DISCOUNT
$393.75
FALL SESSION: AUGUST - OCTOBER This membership includes access to the facility, all training for the fall training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR FALL SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
FALL SESSION - 3 ATHLETES DISCOUNT
$450.00
FALL SESSION: AUGUST - OCTOBER This membership includes access to the facility, all training for the fall training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $675.00 YOUR FALL SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
FALL SESSION - 4 ATHLETES DISCOUNT
WINTER TRAINING SESSION
$300.00
WINTER SESSION: NOVEMBER - FEBRUARY This membership includes access to the facility, all training for the winter training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $900.00 YOUR WINTER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE..
WINTER SESSION - 1 ATHLETE
$450.00
WINTER SESSION: NOVEMBER - FEBRUARY This membership includes access to the facility, all training for the winter training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $900.00 YOUR WINTER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
WINTER SESSION - 2 ATHLETES DISCOUNT
$525.00
WINTER SESSION: NOVEMBER - FEBRUARY This membership includes access to the facility, all training for the winter training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $900.00 YOUR WINTER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
WINTER SESSION - 3 ATHLETES DISCOUNT
$600.00
WINTER SESSION: NOVEMBER - FEBRUARY This membership includes access to the facility, all training for the winter training session. You will receive a renewal invoice for the following training session via PayPal. This fee can be paid on PayPal with a credit card, or you can bring cash or check to the Botetourt Training Center. This fee does not include summer camp fees for special guest camps administered or tournament entry fees. **PLEASE READ** 1) IF YOU FUNDRAISE $900.00 YOUR WINTER SESSION WILL BE FREE PER ONE ATHLETE. 2) IF YOU FUNDRAISE $3,000.00 FOR TBWC YOUR ANNUAL MEMBERSHIP WILL BE FREE PER ONE ATHLETE.! 3) IF YOU WORK BINGO EACH SESSION YOU WORK WILL BE WORTH A $25.00 CREDIT TO YOUR MEMBERSHIP PER ONE ATHLETE.
WINTER SESSION - 4 ATHLETES DISCOUNT
DAILY ENTRY FEE
$20.00
Daily drop in fee. You will register the first time as a "Daily Entry Fee" package and pay with credit card on PayPal or bring a check or cash to the practice session you will attend. Additional drop in days payments will accepted at practice session in the form of credit card, cash, or check on site. No multiple sibling discounts on Daily Drop-ins.
DAILY ENTRY FEE

Team Botetourt Wrestling Club, it's staff, sponsors, and donors are not responsible for injuries that occur during practice or competitions. You are at your own risk. Valid USA Wrestling Memberships cover athletes with secondary insurance if you have existing health insurance. USA Wrestling Membership will take primary insurance roll if you do not have existing health insurance. Additional health insurance needs and medical cost is solely the responsibility of the member athlete and his/her family. By processing payment and siging registration form you expressly agree to the aforementioned terms and agreement.

 

Processing of payment is final. There are no refunds. You and your athlete are responsible for attending practices and competitions. You also understand that this organization will attend tournaments and other competitions. We cannot guarantee a coach will be able to be present at every event. This should not deter you or your athlete from attending and competing. Coaching staff will attempt to attend as many competitions as possible. Remember wrestling is an individual sport.   

I have read and agree to all terms and conditions aboveParent or Guardian Initials for Consent