MIDWEST EXTREME WRESTLING

Place:

DePere Wrestling Clinic

June 26 - 27, 2008

TEAM MIDWEST EXTREME WRESTLING CAMPS

Registration for DePere 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 DePere 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

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Registration Form
DePere

For More Information, Please contact either of the following:

-- Chuck Tripp at (920) 737-3621 or e-mail ctripp@depere.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 Chuck Tripp, 3835 Church View Court, Green Leaf, WI  54126.  All pre-registration forms are due by June 25, 2008.  Checks should be made payable to:  EAGLE EXTREME WRESTLING CLUB.

WHO:

time:

cost:

DePere High School 

Wrestlers in grades 4-12

2:00 - 5:00 p.m.

$60

Camp fee includes T-shirt.