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2015 DWA/ DE USA - Road to Fargo

Freestyle and Greco Training Camp:

May 17, 2015
8:30 am check in
1:30pm Greco Clinic

9:00am Freestyle
4:00-4:30 Pick up

12:00-1:00 Lunch Break

$40.00 per personYou must have a Valid USA card

Jarrod Garnett:
2x University National All American
NCAA All American
4x NCAA Qualifier
3x ACC Champion and 1x Outstanding Wrestler

Kurt Howell:
NCAA All American
3x NCAA Qualifier
100-22 Career Record
4x DE State Champion

Wrestlers Name: ___________________________________________________ Wt. : ________________

Age: ________________________ USA Card #: ________________________
Parent Contact Information:
Parent / Guardian: __________________________________________________
Contact phone #: ___________________________________________________
You must Pre register by May 15, 2015 at either All State Practice , DE Intensity or Milford.
Make checks payable to DE-USA Wrestling
LIABILITY RELEASE- I, __________________________________as a parent/guardian of a minor(s),ask that he/she be admitted
to participate in the above DE-USA sponsored event. I do hereby agree to release, discharge and hold harmless the DE-USA, their
agents and all coaches of and from all causes, liabilities, and damages, claims, or demands whatsoever on account of any injury or
accident involving the said minor arising out of the minors attendance at the sporting event or in the course of competition held in
connection with this event. I also give permission for my childs photograph to appear in promotional material regarding this event.