2020 Wrestling Camp Registration
When: June 2nd-4th
Where: Auxiliary gym in the middle school (wrestling room)
Make checks payable to WHS Athletic Dept.
$20/additional family member
Mail Check to:
Wilmington HS Athletics
300 Richardson Place
Wilmington, Ohio 45177
Kelly Tolliver 937-218-1832 (Varsity Coach)
Isaac Bray 937-701-7101 (Assistant)
Brad Bean 937-302-8316 (Youth Coach)
For updates, follow Wilmington Wrestling on Twitter @Wcanewrestling
Emergency Contact Name
Emergency Contact Number
Grade (fall 2020)
NOTICE: In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by the above-named physician, or, in the event the designated preferred practitioner is not available, by another licensed physician or dentist; and (2) the transfer of the child to any hospital reasonably accessible.This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery are obtained prior to the performance of such surgery. Facts concerning the child’s medical history including allergies, medications being taken, and any physical impairment to which a physician should be alerted.
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