South Jefferson Wrestling Camp 2008
Registration Application
| Name: | |
| Age Entering Grade: | |
| School: | |
| Address: | |
| Phone: | |
| Emergency Contact: Phone: | |
| Consent: | |
| I give my child permission to attend and participate in the 2008 Spartan Summer Wrestling Camp. I understand that his partcipation in this camp involves risks and dangers that could result in serious bodily injury. I also understand that the Spartan Summer Wrestling Camp and it's staff will not assume any responsibility for any accindents, medical or dental, or any other expenses incurred as a result of injury during this camp. I verify that my child has medical insurance and a physician has determined he is physically able to participate in the 2008 Spartan Summer Wrestling Camp. I agree to allow my child to be treated by a certified trainer or licensed physician while attending (if necessary). | |
| Parent/Guardian Signature
(signature must be hand written) |
Date: |
| T- shirt size: Youth Med: Youth Large: Adult S Adult M Adult L Adult XL | |
| Sub Preference: Turkey Ham Roast Beef Tuna | |
| Send application and money to: Coach Pat Conners 25 Roberts Street Adams, New York 13605 |
Checks payable to: |