MAUSTON YOUTH WRESTLING CLUB by It1M1gjf

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									                 MAUSTON YOUTH WRESTLING CLUB
                             Youth Wrestling Tournament
                              Sunday, January 15, 2012
                                        Mauston High School
                                  800 Grayside Avenue, Mauston WI

                                    Pre K-K, 1-2, 3-4, 5-6, and 7-8
                                   Folk style 4-Person Round Robin

                            Trophies for 1st place, medals for 2nd – 4th place
                                  Team trophies for 1st, 2nd, and 3rd

                                  Weigh-ins: Sunday, 7:30-8:45 a.m.

                    Entry Fee: $10.00 pre-registered by January 5, 2012
                                     $15.00 at the door
             $10.00 Team entry fee (Call Tim Dolata to pre-register your TEAM)
                          $2.00 SPECTATOR FEE - Children 5 and Under FREE

                    Contacts: Bret Davies: (608) 547-3012, Tim Dolata (608) 853-1409,
                       Brenda Belk (608) 547-2088 or Tom Miller (608) 469-7535

     PRE-REGISTRATION for MAUSTON YOUTH WRESTLING TOURNAMENT

NAME_______________________________________________________________________

GRADE__________              WEIGHT__________              YEARS of EXPERIENCE______________

SCHOOL/CLUB______________________________________BIRTHDATE_____________

WAIVER: In consideration of my son/daughter’s acceptance in the Mauston Wrestling Club’s Youth
Tournament, I, my heirs, executors and administrators waive and release parents, coaches, sponsors, their
agents, representatives, committees and members from any and all claims and rights to damages for injuries in
training or travel to or from or competing in the meet or any phase of the program. I also give permission (in
case of injury) for emergency medical treatment. I absolve the Mauston Wrestling Club, the Mauston School
District and anyone connected with the tournament from any liability for injuries or accidents while attending
this tournament.


PARENT/GUARDIAN/COACH SIGNATURE                                                          DATE

        Mail pre-registration to: Brenda Belk, 806 Division Street, Mauston WI 53948

								
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