Jordan State Champ Camp @ Cincinnati Colerain Oct. 12/13

[Coach Wagers 43]

TEAM JORDAN
STATE CHAMP CAMP
SOUTHWEST OHIO
HARD WORK EQUALS SUCCESS

An affordable way to enjoy the success of the Jeff Jordan State Champ System, here in southwest Ohio, is being offered at Colerain High School this October. Coach Jordan and staff will be spending the weekend of October 12th and 13th sharing the system they offer during their renowned State Champ Clinics.

ALL COACHES (NON-PARTICIPANTS) ARE WELCOME AT NO ADDITIONAL CHARGE.
PLEASE JUST CALL OR EMAIL TO TELL ME YOU ARE COMING (LUNCH ORDERS).

THE CAMP WILL BE DEMANDING, SO COME PREPARED TO WORK HARD.
THE CAMP IS NOT DESIGNED FOR THE WEAK OF SPIRIT!
GRADES 7-12 WELCOME
YOUTH WRESTLERS MUST HAVE REASONABLE EXPERIENCE
—JUST CALL TO ASK
APPLICATION: Print and mail this form or email me and I will reply with the electronic application forms. It will also be posted on Yappi.com.

COST: $90.00–CHECKS TO COLERAIN BOOSTERS
GROUP RATE AVAILABLE: $85 per for 2, $80 per for 3, $70 per for 4+
DEPOSIT: AT LEAST A 50% DEPOSIT DUE WITH CAMP FORMS. YOU MUST PAY THE REST PRIOR TO THE FIRST SESSION.
INCLUDES: FOUR SESSIONS OF JORDAN TRAINING, T-SHIRT, and Lunch on Saturday (Pizza)

LOCATION:
COLERAIN HIGH SCHOOL WRESTLING ROOM
8801 CHEVIOT ROAD CINCINNATI OH 45251

SCHEDULE OF EVENTS:
SATURDAY Oct 12th, 2013
SIGN IN - 9:00 AM
SESSION I - 9:30 -12 PM
FOOD/BREAK - 12:00 - 1:00 PM
SESSION II - 1:00 - 3:00 PM

SUNDAY, Oct 13th, 2013
SIGN IN – 12-12:15
SESSION III – 12:15 - 2 PM
BREAK – 2- 2:30 PM
SESSION IV – 2:30-4 PM

LOCKERS ARE NOT AVAILABLE. BRING A GYM BAG AND
DO NOT BRING ANYTHING VALUABLE!
Drinks and light snacks will be available for purchase.

QUESTIONS: DO NOT HESITATE---CALL DUSTIN GEHRING @ 293-5987
OR EMAIL DGEHRING4867@GMAIL.COM


Print the forms below and mail or email them according to directions.

Parent Consent and Waiver of Responsibility
Wrestler’s Name_______________________
In consideration of Jeff Jordan’s State Champ Camp, LLC, acceptance of the camper named above as a student in the camp the camper by and through his parent or legal guardian hereby acknowledges, understands and agrees to as following.
Wrestling is a sport, which involves intense physical contact between two individuals. The camper will be involved in some intense training and competition including competitive wrestling. Injuries can and do occur during wrestling.
The understanding on behalf of themselves and their child or ward agrees to hold harmless Jeff Jordan’s State Champ Camp, LLC., its owners, staff, property owners, coaches, Colerain High School, Colerain Staff, and all entities involved with the running of this camp from and against any injuries incurred by the camper.
The understanding hereby releases, waives, and forever discharges Jeff Jordan’s State Champ Camp, LLC, , Northwest Local School District, Colerain High School, Colerain Staff, and all entities involved with the running of this camp from and against any and all claims, injuries, demands, actions, or cause of actions arising out of the participation by the camper in Jeff Jordan’s State Champ Camp, LLC.
The understanding hereby certifies that the camper is physically able to participate at the camp and that there are no impairments that would limit the participation in the programs. The understanding hereby grants permission for doctors and their designees to administer appropriate medical care, antigens, or injuries, and to perform emergency procedures as necessary.
Parent or Legal Guardian Signature: ___________________________ Date__________
Medical Information
Important Medical History:__________________________________________ _________________
Allergies, Present Medications, Special Considerations: ____________________________
__________________________________________________ _______________________
Parent/Guardian Name: __________________________________________________ ____
Phone Numbers: (Home)( )___________Cell : (___)________ (Work)_____________
Other contact info:_____________________________________________ ______________




JORDAN CAMP FORM
Name:_____________________________________________ _____________________
Age:______Weight:________ Grade in Fall:_______ School Attended Last Yr.:______
T-Shirt Size (Circle One): Adult: S M L XL 2XL Youth: S M L
EXPERIENCE________________________________________ ___________________
Last Year Record & Accomplishments:__________________________________ _______________________
GRADES 7-12 COME READY TO WORK AND LEARN
Youth-- MUST HAVE REASONABLE EXPERIENCE
(QUESTIONS, JUST CALL COACH GEHRING 293-5987)
Address: __________________________________________________ ______________
City:__________________State:_________________Zip: _________________________
Email:_____________________________________ (important for updates)
Cell Phone: ( )__________________Phone___)____________________ _________
DEPOSIT AMOUNT __________________
REMAINING BALANCE______________
PLEASE MAKE CHECKS PAYABLE TO COLERAIN BOOSTERS
Send your registration forms and deposit to
ADDRESS BELOW
You can email the forms to me to let me know you are interested in coming and to save a spot at dgehring4867@gmail.com but still need to send in the deposit.

Colerain High School
Attn Kathy Maxwell
8801 Cheviot Rd
Cincinnati, OH 45251

This camp is not affiliated with Northwest Local School District or Colerain High School

 

[Coach Wagers 43]

Don't miss out on this great camp this weekend