MIDWEST EXTREME WRESTLING

Place:

Delavan-Darien Wrestling Clinic

July 9 - 11, 2008

TEAM MIDWEST EXTREME WRESTLING CAMPS

Registration for Delavan-Darien 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 Delavan-Darien 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
Delavan-Darien

For More Information, Please contact either of the following:

-- Craig Lodahl at (262) 740-0702 or e-mail clodahl@ddschools.org

-- 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 Craig Lodahl, 2939 Sun Meadow Court, Delavan, WI  53115.  All pre-registration forms are due by July 8, 2008.  Checks should be made payable to:  EAGLE EXTREME WRESTLING CLUB.

WHO:


time:

cost:

Delavan-Darien High School  (Located in Delavan, WI)

Wrestlers in grades K-12

Grades K-5

5:00 - 6:30 p.m.

$60

 

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

Camp fee includes T-shirt.

Grades 6-12

6:30 - 8:30 p.m.