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2015 DWA/ DE USA - Road to Fargo

Freestyle and Greco Training Camp:

May 31, 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


Brad Pataky:
Pataky was a three-time NCAA qualifier at Penn State where he was also three-time
BIG 10 place winner. The Keystone State native helped lead the Nittany Lions to the
2011 NCAA national title and posted an 83-31 career record.
Prior to his time in State College, Pa., Pataky enjoyed a stellar high school career
during which he was a 2004 PIAA State Champion at 112 pounds, three-time PIAA
state medalist and 10-time Asics Freestyle/Greco All-American. He authored an impressive 125-5 record as a high school grappler.
Pataky continues to enjoy a highly successful career at both the national and international level. He is a University Place Winner and Champion (2008), Canada Cup
place winner and two-time runner-up. A Guelph Open place winner and Champion,
also in 2008, he was also a two-time Northwest F/S Regional Champion and U.S.
Open place winner, NYAC place winner (2007) and University World Team member
(2008). He placed seventh at the 2008 University World Games and was an Olympic
Team Trials Qualifier in 2008.

Wrestlers Name: ___________________________________________________ Wt. : ________________

Age: ________________________ USA Card #: ________________________
Parent Contact Information:
Parent / Guardian: __________________________________________________
Contact phone #: ___________________________________________________
You must Pre register by May 29, 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.