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Youth Wrestling Camp

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Youth Wrestling

Development Camp

July 7-9, 2011

Grades: K – 5th

Site: Pigeon Forge, Tennessee (Camp will be held in the Wrestling Field House.)

Pre-Registration: Must be in by June 25, 2011 Each Pre-Registered Wrestler will receive: T-Shirt , Camp Bag, and Lunch on Friday

Camp Fee: Pre-Registered: $ 100.00 Walk-ups: $ 125.00

 All Wrestlers must have an active AAU Card.

Camp Schedule:

Thursday: 5-6 PM Check-in 6-8 PM Session I

Friday: 9 – 11:30 AM Session II

11:30 AM – 12:30 PM Lunch

12:30 – 2 PM Session III

Saturday: 9 – 11 AM Session IV

11 AM – Noon Fun and Games

Camp Clinicians:

Greg Foreman: Head Wrestling Coach at Pigeon Forge High School

Tim Pittman: Head Wrestling Coach at Gibbs High School

Bill Smith: Head Coach of the Eagle Talon Wrestling Club

Charlie Arrington: Assistant Wrestling Coach Pigeon Forge HS

Camp Director/ Instructor: Darrel Lauderdale: Head Wrestling Coach Univ. TN Club team; Pigeon Forge High school Wrestling Tournament Director

Further Information (Hotels, Recreational Activities):

Contact Darrel Lauderdale: phone: 865-755-7872 or email: seaauwrestling@gmail.com

REGISTRATION INFORMATION SHEET

NAME: ______________________________________________________________________

Address: ________________________________City: _______________ zip: ______________

Date of Birth: ____________________ Age:________________ Grade; ___________

Parent Phone #: _____________________ Cell/Emergency #: _________________________

USA Card # : ______________________________ T-Shirt Size: ___________________

Parents Name: ______________________________________________________________

Parents Signature: ___________________________________________________________

Make Checks payable to: Pigeon Forge Wrestling

Mailing Address: 134 Vanderview Drive Seymour, TN 37865

Date: _____________________

The ATHLETE WAIVER/RELEASE ["AGREEMENT"]

I/we hereby release and forever discharge the Amateur Athletic Union of the U.S., Inc. [AAU], USA Wrestling, the Host, Local Organizing Entity Owner, TeamTN wrestling, Sevier County Board of Education, Pigeon Forge High School, the camp clinicians, ,from ALL claims that may arise from participating in this clinic and event.

Parents /Guardian Signature:

___________________________________________________________________

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