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INDIANA WRESTLING CAMPS

2019 INDIANA WRESTLING CAMP

June 24-28, 2019
at Indiana University
9 a.m.-3 p.m. Daily

CAMP COSTS

$400.00

ADDITIONAL INFORMATION

E-Mail: Click Here!
Phone: 812-219-8780
Register On-Line: Now Available!
All Camps open to any and all entrants

2019 Indiana Summer Wrestling Camp

Registration Note: Registrations will be accepted until the camp is full. Your camp fee, less a $75.00 non-refundable administrative deposit, will be refunded without question if you cancel at least two weeks prior to the beginning of camp. At any time after that date, refunds (less the $75.00 administrative fee) will be made for medical reasons only and must be accompanied by a signed medical statement from your physician within 30 days from the start of camp. If no request for cancellation is made before the camp begins, absolutely no refunds will be given.
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Parent's E-Mail Address*
 
Camper's Home Phone #*
 
Parent's Cell
 
Age*
 
Height*
 
Weight*
 
Grade Entering (Fall 2019)*
 
Camper's School*
 
T-Shirt Size*
 Y-S
 Y-M
 Y-L
 S
 M
 L
 XL
 XXL
 
EMERGENCY NUMBERS  
Mother's Home Phone #
 
Mother's Cell Phone #
 
Mother's Work Phone #
 
Father's Home Phone #
 
Father's Cell Phone #
 
Father's Work Phone #
 
Name and phone number to call if parents cannot be reached*
 

MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your son, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Allergies/Allergic Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any past illness, injury or other information that would be useful in the event of medical treatment
 

* Waiver: I, the undersigned, submit that my son or is physically fit to participate in strenuous athletic activity and waive the Angel Escobedo Wrestling Camp, LLC, Forward Marketing LLC, and all sponsors from any and all responsibility for injury or illness. I hereby authorize the directors of the camp to act for me according to their best judgment in an emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and provide the camp proof of medical and accident insurance. I also understand that my deposit is subject to a $75 administrative fee.  

Parent/Guardian Name*
 
Date*
 
PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if any of the Indiana Baseball Camps are cancelled for any reason, refunds must be collected directly from Angel Escobedo Wrestling Camps.

 
Qty 
 $400.00 Option 1 - Individual Registration - Payment in Full

 $200.00 Option 2 - Individual Registration - Deposit (Please Note: Final payment is due June 21, and will charged to the same credit card)


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