2025 Rugby SWAT Wrestling Purler Camp
Event Timing: July 23rd thru July 25th 
Event Address: Rugby High School, 1123 S. Main, Rugby, ND 58368
Contact: Chris Brossart 701-208-0409 or brosy169@hotmail.com
Camp registration deadline and payment due July 1st, 2025
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Email *
Parent/Guardian (first and last name) *
Phone Number *
Wrestler (first and last name)

 *
Grade Completed *
Club/Town *
T-Shirt Size *
My son/daughter has been examined by a physician in the last year and is in good health. I hereby authorize Purler Wrestling, Inc and Rugby SWAT Wrestling Club to act for me, according to its best judgement in any medical emergency, and I hereby waive and release Purler Wrestling, Inc, Rugby High School, and Rugby SWAT Wrestling Club from any liability for injuries or illness incurred by my son/daughter while attending camp.  I understand that injuries could be involved with participation.  I understand that the Rugby SWAT Wrestling Club, Purler Wrestling its coaches or board members, are not responsible for injuries that may occur during these sessions.  I have my own medical insurance that will cover any medical attention that my child may need.* *
Required
Payment
Mail check to:  Rugby SWAT Wrestling
                            4510 Highway 17 
                            Wolford, ND 58385
Cost : $175/person

A copy of your responses will be emailed to the address you provided.
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