BACK TO THE MAT CAMP

BACK TO THE MAT CAMP REGISTRATION
Date & Time: Sunday, Sept. 18th 10am-2:30pm
30 min lunch at noon
lOCATION: JACKHAMMER TRAINING CENTER
5520 112TH ST E, STE C2
PUYALLUP, WA 98373
fEE: $20 PER WRESTLER
Please fill out a form for each wrestler
Ages 12 and Under

Make sure to bring your wrestling shoes, water and lunch.

* Indicates required field

Wrestler Name *

First

Last

Parent Name *

First

Last

Phone Number *

Email *

WRESTLING IS A VIGOROUS ACTIVITY AND THE POSSIBILITY OF INJURY DOES EXIST. I GIVE APPROVAL AND PERMISSION FOR MY CHILD TO PARTICIPATE IN THE PUYALLUP WRESTLING CLUB PROGRAM. I HEREBY WAIVE ALL CLAIMS FOR LEGAL ACTION, FINANCIAL OR OTHERWISE, AGAINST THE PIERCE COUNTY JUNIOR WRESTLING LEAGUE, PUYALLUP WRESTLING CLUB, THIER ELECTED AND/OR APPOINTED OFFICIALS AND VOLUNTEERS FOR INJURIES THAT MAY OCCUR DURING PRACTICE, TRAVEL, COMPETITION OR OTHER CLUB SPONSORED EVENTS. *

Agree

Submit

BACK TO THE MAT CAMP REGISTRATIONDate & Time: Sunday, Sept. 18th 10am-2:30pm30 min lunch at noonlOCATION: JACKHAMMER TRAINING CENTER5520 112TH ST E, STE C2PUYALLUP, WA 98373fEE: $20 PER WRESTLERPlease fill out a form for each wrestlerAges 12 and Under

BACK TO THE MAT CAMP REGISTRATION
Date & Time: Sunday, Sept. 18th 10am-2:30pm
30 min lunch at noon
lOCATION: JACKHAMMER TRAINING CENTER
5520 112TH ST E, STE C2
PUYALLUP, WA 98373
fEE: $20 PER WRESTLER
Please fill out a form for each wrestler
Ages 12 and Under