Information | 2024 Penn Wrestling Club Summer Camp

First Name:*

Last Name:*

Date of Birth:*

Gender:*

Male

Female

Unspecified

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T-shirt Size:*

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2X-Large

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Parent/Guardian First Name:*

Parent/Guardian Last Name:*

Parent/Guardian Email:*

Parent/Guardian Phone Number:*

Emergency Contact First Name:*

Emergency Contact Last Name:*

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Emergency Contact Relationship to Participant:*

Group Registration:*

Group 1 | K-5 Boys Fun Camp ($50.00)

Group 2 | K-5 Girls Fun Camp ($50.00)

Group 3 | 2nd-5th Coed Advanced Camp (2+ Years Club Experience) ($50.00)

Group 4 | 6th-8th Boys Camp ($50.00)

Group 5 | 6th-8th Girls Camp ($50.00)

Group 6 | 9th Coed Camp ($50.00)

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Waiver

By payment of the $50 registration fee, I hereby waive, release, and forever discharge the Penn-Harris-Madison School Corporation, Penn Wrestling Club, and its staff from any liability or claims arising out of any loss, personal injury, or property damage that may occur during participation in this wrestling camp.