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BWC 2017 Camp Registration Form
Campers First Name
Your answer
Campers Last Name
Your answer
Birthdate
MM
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DD
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YYYY
Current Weight
Your answer
Grade (entering in fall)
Your answer
Which camp will you be attending?
Athlete Phone number
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Emergency Contact (name and phone)
Your answer
I am the parent or legal guardian of the above wrestler and give my permission for him/her to compete in this camp sponsored by The Broncs Wrestling Club, a registered 501 (c)(3) organization. I hereby release and hold harmless The Broncs Wrestling Club, its officers, coaches, members, and volunteers; the King’s Christian School and the Scanzano Sports Center and its trustees from any and all liability incurred as a result of participation in or travel to and from the camp. I recognize that wrestling is a contact sport and that there are certain risks of injury inherent in the sport of wrestling. Parents/Guardians are responsible for the safety and behavior of their children. This event is independently owned and operated by the Broncs Wrestling Club. The Broncs Wrestling Club is not affiliated with King’s Christian School or the Scanzano Sports Center in any way.
Parent/Guardian Full Name (this serves as your electronic signature)
Your answer
Email Address
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Parents Cell Number
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