PRE-REGISTER FOR SUMMER WRESTLING CAMP IN EDH
WRESTLING CAMP JUNE 12-15th 2017 in El Dorado Hills, CA
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Email Address:
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Wrestler Age:
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Wrestler Name:
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Wrestler Grade:
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Phone Number:
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Mailing Address:
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Choose Session Morning or Afternoon:
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Morning Session 10am- Youth
Afternoon Session 12:30pm- High School and Middle School
Payment by Credit Card:
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VISA
MASTER CARD
AMERICAN EXPRESS
DISCOVER
CREDIT CARD #:
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CREDIT CARD EXPIRATION DATE MM/YY:
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CREDIT CARD 3 or 4 digit security code:
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Billing Zip Code for Credit Card:
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Name on Credit Card:
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Amount to Charge Credit Card
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$175 Pre-Register Price
$200 Registration Price after June 10th
Comments or Notes:
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