____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___
Camp Application
Name:________________________________________________________
Address_______________________________________________________
Phone___________Email_____________Grade____School________________
Circle one: Morning/All Day Session_Wght____Yrs of Exp____T-Shirt Size______
Emergency Contact________________________Phone___________________
Please read and sign: I have no knowledge of any physical impairment that would prevent the camper from participating in this program. The Camp has my permission to provide emergency medical treatment and I also authorize the hospital medical staff to administer treatment, as necessary, for my child. I, the Parent, release the All-American Wrestling Camp from any and all liability.
Signature of Parent_______________________________________Date:_________