2007 Pine-Richland Wrestling Camp

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					   2007 Pine-Richland
    Wrestling Camp
                     July 9-12
                  9 AM — 12 PM
     Pine-Richland High School GREEN GYM
         Pre-Register on back of form or
Register at High School GREEN GYM 8 AM — 9 AM
              Open to Grades 6-12

  Camp Clinicians include:

  Dave Fiore — Pine-Richland Head Coach, six year assistant at Kiski Area
  Jay Braunstein — Head Coach, St. Paul HS, St. Paul, Maryland
  Chuck Tursky — Head Coach Kiski Area High School
  Don Henry — Head Coach, Gannon University
  Steve Joseph — Former Kiski Area and Edinboro College Wrestler
  Tom McGarity — Former Head Coach, Pine-Richland High School
  Nate Goheen — Head Coach, Pine-Richland Jr. High

         Bring shoes, shirt, shorts and a will to learn!

                             Camp Cost $65

                                                                            PG. 1
                                2007 Pine-Richland
                                 Wrestling Camp




  Work Phone (Mom):
  Work Phone (Dad):

  In case of Emergency:



I understand that neither Pine-Richland School District nor anyone associated with the school district, will
assume responsibility for accident and medical or dental expenses incurred as a result of injury while par-
ticipating in this camp.

The applicant is in good health and able to participate in the physical activities of a rigorous program. In
case of injury or sickness, the camp has my permission to provide medical care.

                                                    Authorized Signature

      To confirm and reserve a place in the camp, please send this application and a
                             check in the amount of $65 to:

                                             Mr. David Fiore
                                Pine-Richland High School, Athletic Office
                                           700 Warrendale Rd.
                                           Gibsonia, PA 15044

                                     Make check payable to: David Fiore
       (You will be able to register the morning of the camp 8AM-9AM at High School GREEN GYM)

                                                                                                               PG. 2