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					                         Michigan State University
                         Wrestling Camp
                         Resident and Commuter Camps
                         Must be 12 years old to spend the night*
2012 Dates:
  June 17-20
   Intensive Camp
  June 17-20
  Technique Camp

      5-OLYMPIANS          n	 MSU
                              	    Head Coach Tom Minkel - World and Olympic Team
27- NATIONAL CHAMPIONS        Head Coach, 3 time National Champion, Olympian
 67-BIG TEN CHAMPIONS      n	 Roger Chandler – 3 time All-American
  132- ALL-AMERICANS       n	 Chris Williams – All-American
                           n	 Alex Dolly – 4 time NCAA National Qualifier



                           To register online go to: www.sportcamps.msu.edu

                           Ages* 8-18 years old

                           Intensive Camp              Check-in:      2:00-3:00 p.m. (Sunday)
                           (Ages 12 and over)         Check-out:      3:30-4:30 p.m. (Wednesday)
                                                      Camp fees:      *Resident Camp       $380.00
                                                                      Commuter Camp        $290.00

                           Technique Camp              Check-in:      2:00-3:00 p.m. (Sunday)
                                                      Check-out:      3:30-4:30 p.m. (Wednesday)




              Wrestling
                                                      Camp fees:      *Resident Camp       $350.00
                                                                      Commuter Camp        $260.00

                           n	 Early Registration by May 1st = $35.00 off
                           n Groups/Team Discounts (4-9=$10 off p.p.) (10+=$15 off p.p.)
                           n Only one discount per person.
                     Michigan State University
                     Wrestling Camp
                     Resident and Commuter Camps
2012 Dates:          Camp Information                                  Registration Information
 June 17-20          Resident campers MUST be                          Register online at www.sportcamps.msu.
 Intensive Camp      12 years old to spend the night.                  edu or complete the attached application.
                                                                       Full payment by either check,
 June 17-20          Refund Policy                                     MasterCard, VISA or Discover must
 Technique Camp      Campers unable to attend camp are                 accompany the application. Make
                     entitled to a refund. A $55 administrative        checks payable to Michigan State University.
                     fee (only $30 if you enrolled online) will        No applications will be accepted before
   5-OLYMPIANS       be deducted from all refunds, regardless          February 1st. You will receive confirma-
                     of the reason. Refund requests must be sub-       tion for receipt of enrollment by mail within
   27- NATIONAL      mitted in writing PRIOR to the first day of
   CHAMPIONS                                                           12–15 business days.
                     the camp session in which the camper was
   67-BIG TEN        originally enrolled. No refunds for any rea-      Walk-In Registration Policy
   CHAMPIONS         son (i.e. injury, illness) will be given once a   Walk-in registration (signing up on the day
                     camper is on campus.                              camp begins) will be accepted on a space
132- ALL-AMERICANS                                                     available, first come, first served basis. An
                     fax: 517-355-6891
                     email: msucamps@msu.edu                           additional $10.00 fee will be charged for
                                                                       walk-in registrations. Please note that walk-
                     Check-In/Check-Out                                ins are not guaranteed admission once a
                     Time and location of check-in/check-out will      camp is full.
                     be printed on your receipt and sent to you at     Cash payment only. No checks or
                     time of payment.                                  credit cards.

                     Medical Policy                                    MSU Sport Camp Policy
                     Each participant should have his or her           Persons enrolled in MSU Sport Camps will
                     own medical insurance. A student trainer          be required to attend all sessions and to
                     will always be available. Participants are        comply with the rules and regulations of
                     automatically enrolled in MSU’s accident          Michigan State University governing the
                     insurance plan. Eligible covered expenses         conduct of all students on the campus.
                     will be paid only if they are in excess of
                     other valid and collectible insurance. No
                     physicals are required.                           Contact Information
                     Roommate Requests
                                                                       Sports specific questions contact:
                     To aid us with your roommate and
                                                                       p. 517.432.5036
                     suitemate preferences, please submit your
                     written applications in the same envelope or      General/Registration/Roommate
                     submit online applications on the same day.       questions:
                     All requests for suitemates and roommate          p: 517.432.0730
                     preferences must be confirmed by e-mail           w: www.sportcamps.msu.edu
                     30 days prior to camp start date at
                     msucamps@msu.edu.
                     Meals
                     Sunday Meal 6:00 p.m.–7:30 p.m.
                     Breakfast 7:00 a.m.–8:30. a.m.
                     Lunch 11:30 a.m.–1:30 p.m.
                     Dinner 4:00 p.m.–6:00 p.m.
The Wrestling Camp Application                                                   medical Treatment Authorization Form
REgisTER AT WWW.spoRTCAmps.msu.Edu
pLEAsE pRiNT iNFoRmATioN BELoW oR ENRoLL oNLiNE                                  ______________________________________ DOB___/____/____
                                                                                 Participant’s Name
Name: _________________________________________________                                                       Wrestling
                                                                                 What Sport: ______________________________________________

Address: ________________________________________________                        Date of Camp: ____________________________________________

City: __________________________ State: ______ Zip: __________
                                                                                 Participants are automatically enrolled in MSU’s accident insurance plan.
Parent or Guardian: ________________________________________                     Eligible covered expenses will be paid only if they are in excess of other valid
                                                                                 and collectible insurance.
Daytime Telephone: (_________) ______________________________
                                                                                 1. List any medical conditions that camp personnel should be aware of
                                                                                    (use additional pages if necessary):
Evening Telephone: (_________) ______________________________
                                                                                 _______________________________________________________
E-mail: ________________________________________________
                                                                                 _______________________________________________________
Grade in September: ___________________ Age: _____________
                                                                                 2. List any medications currently taking:
Sex: ______ Date of Birth: _____________ Ht: ________ Wt: ________
                                                                                 _______________________________________________________
must be 12 years old to spend the night.
                                                                                 _______________________________________________________
Roommate preference:
                                                                                 3. List any allergies:
1) ____________________________________________________
                                                                                 _______________________________________________________
2) ____________________________________________________
                                                                                 _______________________________________________________

please enroll me in the following Wrestling camp:
                                                                                 in case of emergency please contact:
Camp Date                    Resident                     Commuter               _______________________________________________________
                                                                                 Name
JuNE 17-20 (Intensive)	      q	$380.00                    q	$290.00
                                                                                 _________________________               ____________________________
JuNE 17-20 (Technique)       q	$350.00                    q	$260.00              Daytime Telephone                        Evening Telephone
q	Early registration by May 1st = $35.00 off                                     _______________________________________________________
q	Groups/Team Discounts (4-9=$10 off per person) (10+=$15 off per person)        Name of Medical Insurance         Company Telephone
                                                                                 _______________________________________________________
***One discount per person please                                                Insurance Policy Numbers

                                                                                 ____________________________________________, as parent or
                                U.S. FUNDS ONLY.                                 legal guardian of the participant named above, authorizes MSU to seek
                          Please make checks payable to                          medical and/or surgical treatment which is reasonably necessary to care
                           miCHigAN sTATE uNiVERsiTY                             for the participant. I further authorize the medical facility that treats the
                                                                                 participant to release all information needed to complete insurance claims.
        Check one: q CHECK q MASTERCARD q VISA q DISCOVER
                                                                                 I acknowledge my responsibility to pay all costs associated with the partici-
                                                                                 pant’s medical care and authorize all insurance payments, if any, to be made
                                                                                 directly to the medical facility.

Card Number                                                                      _______________________________                   ____________________
                                                                                 Signature (Parent or Guardian)                     Date

3 digit security code                                                Exp. Date
                                                                                     Send Application and Medical Treatment Form with payment in full to:

Signature                                                                                                 miCHigAN sTATE uNiVERsiTY
                                                                                                               sports Camp office
Amount of Check/Charge enclosed
                                                                                                            402 Jenison Field House
                                                                                                          East Lansing, mi 48824-1025
                                                                                                               Fax: 517-355-6891

				
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