Marion Military Institute Wrestler Information Form

(LtoR)  Matt Baker '03              Danny Ruiz '04, '05, '06              James Breux '04

MMI NCWA ALL-AMERICANS

FULL NAME:

ADDRESS:

Coach Jim Hazelwinkel

DATE OF BIRTH :

Click to Select Spring 2007 Spring 2008 Spring 2009 Spring 2010 Other

DATE OF GRAD :

HIGH SCHOOL :

Coach Dave Hazelwinkel

HOME PHONE :

CELL PHONE :

HEIGHT and WEIGHT:

NUMBER OF YEARS WRESTLED Please indicate:

FREE STYLED and/or GRECO EXPERIENCE:

Click to Select Yes No

STATE PLACE WINNER:

Click to Select Yes No

INDICATE STATE PLACE FINISHED:

OTHER ACCOMPLISHMENTS

To complete this Wrestling Information Form click the SUBMIT BOTTON below. Within 10 day you will receive a TOP confirmation letter by mail

THANK YOU!