Henryetta / OU Skills and Drills Youth Wrestling Camp July 16th & 17th

SKILLS AND DRILLS YOUTH WRESTLING CAMP HOSTED BY HENRYETTA KNIGHTS WRESTLING CLUB ATTENDEES WILL BE CURRENT AND FORMER OKLAHOMA UNIVERSITY STANDOUTS CHRISTIAN MOODY AND DOM DEMAS WHEN : JULY 16TH & 17TH WHERE: HENRYETTA HIGH SCHOOL GYMNASIUM PRICE: $50 PER WRESTLER LUNCH INCLUDED (2 WEEK EARLY SIGN-UPS RECEIVE CUSTOM SHIRT) CHRISTIAN MOODY 4X Big 12 Placer; 4X NCAA APPEARANCES; 2020 NWCA Scholar All-American & 1st Team Academic All-big 12 DOM DEMAS 2X Big 12 champion; 3x NCAA appearance (4th-2019); OU’s 274th & 275th All-American; 2020 NWCA Scholar 1st Team & 1st Team Academic All-Big 12 All-American JOHN KINCADE NWCA Hall of Fame Award for Lifetime Service to Wrestling; NWCA for Arkansas in 2020; 2020 & 2021 Arkansas Coach of the Year(5A class); 3x Dual Team State Champions & 2x Team State Champions; Oklahoma All-Sate Coach (1999) SCHEDULE JULY 16 8AM-9PM CHECK-IN 9AM-11AM SESSION 1 (NEUTRAL) 12PM-2PM SESSION 2 (REFEREE DOWN) 2PM-430PM SESSION 3 (REFEREE TOP&LEG RIDING) JULY 17 9AM-11AM SESSION 1 (NEUTRAL) 12PM-2PM SESSION 2 (REFEREE DOWN) 2PM-430PM SESSION 3 (REFEREE TOP&LEG RIDING) 5PM CHECK-OUT (OPTIONS OF FREESTYLE IN SESSION 3) AGES 6-18 FOR REGISTRATION & INFORMATION CONTACT COACH DAVE HUTCHINGS 918-617-4869; SETH HAMRIC 918-752-5922; OR CASSIE ENGLAND 918-759-3480 henryettaknightswrestling@gmail.com SKILLS AND DRILLS YOUTH WRESTLING CAMP JULY 16-17 HOSTED BY HENRYETTA KNIGHTS WRESTLING CLUB Participant Registration Participant Name: ______________________________ DOB: __________________ Address:_______________________________________________________________ Parent Name: __________________________________ Weight: ____________________ School: _______________________________________ Phone: ____________________ Preference: Freestyle : Folk style : Grade: ____________________ Size Choices: Youth Small (YS) Medium (YM) Large (YL) X-Large (YXL) Adult Small (AS) Medium (AM) Large (AL) X-Large (AXL) T-Shirt Size Shorts Size PARENTAL AUTHORIZATION I, parent or guardian of the above named participant, hereby gives approval to his/her participation in any and all association with the camp activities. I assume all risks and hazards incidental to such participation including transportation to and from the activity, and hereby do waive, release, absolve indemnity and agree to hold harmless the Henryetta Youth Wrestling Club, the coaches, participants and person transporting the participant to and from activities from any claim arising out of an injury to the participant, except to the extent and in the amount covered by accident and/or liability insurance held by the club. I also grant permission to the managing personnel or other representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the participant become ill or injured while participating in wrestling activities away from home, or at other times when neither parent is available to grant authorization for emergency treatment. Payment Check #_________ $_________ Cash ____________ $_________ Initials_____________ Legal Guardian Authorization: Signature: _________________________Relationship: _____________ Date: ________ Registration Fee: $50

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