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July 23-27 wrestling camp in Bullitt County

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                  STATE CHAMP WRESTLING CAMP

                                               JULY 23-27, 2007

PLACE: Bullitt Central High School Gymnasium

   TIME: 9:00 a.m. - 3:00 p.m.

     FEE: $100    (With $25 Deposit by June 30, 2007)

                      $125    (Late Registration - After July 18, 2007)

COACH: Frank Beasley       Mr. Beasley has coached for the Ken Chertow Wrestling Camps, is an Illinois Greco Roman and Freestyle State Champion, and assistant coach at Bloomsburg University NCAA Div. 1

The Bullitt Central Wrestling Boosters will be sponsoring a wrestling camp the week of July 23-27, 2007.  Camp will be divided into morning and afternoon sessions with lunch provided in between.

Simultaneous instructional sessions will be held for experienced wrestlers and beginners.

Bring wrestling shoes (tennis shoes for beginners), head gear (if available), and gym clothes.

Coaches are encouraged to attend with their team.

For information or questions, please call Josh Durham (859) 893-0353 or Diana Walls (502) 543-3528.

***************************************************************

Applicant _______________________________________   Telephone # ________________________

Address _______________________________ City  ___________________State ______ Zip _______

School ________________________________ Coach ________________________ Grade _________

This is the application for enrollment of __________________________________ (student's name) in the State Champ Wrestling Camp.  I hereby agree to save and indemnify and keep harmless the said State Champ Wrestling Camp and it's agents against any and all liability claims, judgments or demands for damages arising as a result of injuries by the applicant while wrestling or taking wrestling instruction.

Parent or Guardian signature _________________________________________

Make checks payable to:  Bullitt Central Wrestling Boosters

Mail this form with payment to:  Bullitt Central Wrestling Boosters, C/O Diana Walls, 931 Walls Hollow N.,                                                                       Shepherdsville, KY  40165

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