Place:

Campbellsport Wrestling Clinic

June 18 - 20, 2008

TEAM MIDWEST EXTREME WRESTLING CAMPS

Registration for Campbellsport Clinic

NAME:

E-MAIL ADDRESS:

ADDRESS:

CITY/STATE/ZIP:

TELEPHONE:

GRADE THIS FALL:

As the parent/legal guardian of the above named athlete, I understand and agree that the Campbellsport Public Schools, the Midwest Extreme Wrestling Club and its clinicians, and anyone else connected with the facilities used assume no responsibility for accidents, injuries, medical, or dental expenses incurred by my son/daughter while participating in this program.

Parent or Legal Guardian’s Signature                                                                                       Date

If you have problems opening the document, please download Adobe Acrobat Reader for free at:

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For More Information, Please contact either of the following:

-- Mark Peterson at (920) 477-2019 or e-mail mpeterson@csd.k12.wi.us

-- Dion Grisar at (920) 251-4625 or e-mail dgrisar@csd.k12.wi.us

-- Billy Huebner at (608) 790-2468                                                              

REGISTRATION:

Pre-registration is preferred but not required -- walk-ins are welcome.  If pre-registering, please complete the registration form below and send it with your camp fee to Mark Peterson, P.O. Box 63, Eden, WI  53019.  All pre-registration forms are due by June 17, 2008.  Checks should be made payable to:  EAGLE EXTREME WRESTLING CLUB.

WHO:

cost:

Campbellsport High School

Wrestlers in grades K-12

$60

 

Grades K-5 have the opportunity to participate in or watch the second session.

 

Camp fee includes T-shirt.

time:

Grades K-5

5:00 - 6:30 p.m.

Grades 6-12

6:30 - 8:30 p.m.

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