Youth Wrestling Camp in Middletown GREAT DEAL!
2012 Bishop Fenwick/Butler-Warren Wrestling Club Camp
What? Wrestling Camp
Who? Anyone entering Grades 1-9 may attend.
When? JUNE 25-28 9:30a.m.-12:30PM
Where?Bishop Fenwick High School
4855 State Route 122
Franklin, Ohio 45005
Cost :$20.00 Per Student!
Make Checks payable to Fenwick Athletic association
Mail payment and registration form to:
Athletic Department
Fenwick High School
4855 St. Rt. 122
Franklin, OH 4500
Contact:
Jeremy Caudil 513-356-0804 mrjcaudill@gmail.com
George Moore 513-265-8806 gmoore39@cinci.rr.com
Please complete and mail form below.
NAME______________________________________________ _
ADDRESS___________________________________________ _
CITY, STATE & ZIP CODE______________________________
PARENT OR GUARDIAN_________________________________
HOME PHONE________________________________________
WORK PHONE________________________________________
GRADE JUST COMPLETED _____________________________
AGE_______________________________________________
SCHOOL ATTENDING (Fall 2012) ________________________
__________________________________________________ __
CAMP ATTENDING: Wrestling JUNE 25-28 9:30a.m.-12:30PM
T-SHIRT SIZE (Please circle one):
YM YL AXS, AS M AL AXL AXXL AXXXL
(Y=Youth Sizes A=Adult Sizes)
Please complete and mail the form below, along with $20.00 payment to:
Athletic Department
Fenwick High School
4855 St. Rt. 122
Franklin, OH 4500
***Make Checks payable to Fenwick Athletic Association***
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Parental Permission Form
Camper:_______________________________
I certify that my son has no injury that would limit his participation in camp. I hereby release,
exonerate, and discharge the camp and their employees from any and all actions or causes
of actions, known or unknown, from injuries incurred in camp. I, the above signed parent/guardian,
do hereby delegate to the Fenwick sports Camp, its employees or agents, the authority to seek,
obtain, and approve any medical care and treatment for the above-named camper, who in their
judgment is necessary for the health and well-being of said camper during his attendance at the
Fenwick sports Camp. Further, I agree to hold the Bishop Fenwick High School Wrestling Camp,
its employees or agents, harmless for any liability arising out of any good-faith actions taken in
seeking and obtaining medical care and treatment for the above-named camper. All costs
incurred are the responsibility of the parent/guardian
Parent/Guardian: ____________________ Date_______
School Attending in FALL 2012____________________
