Youth Wrestling Camp in Middletown GREAT DEAL!

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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***

----------------------------------------------------------------------------------------------

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____________________