2018 Panther Powerhouse Open - IKWF
2018 Panther Powerhouse Open IKWF / USA Wrestling Date:
Sunday, February 18, 2018
Location:
Pinckneyville Community High School 600 E Water St
Pinckneyville, Il 62274 Registration:
Pre-registration ONLY! Capped at 300 entries. DEADLINE is Thursday, February 15th at 10:00 PM. Email team entries to [email protected] Provide NAME, AGE, WEIGHT, RECORD, and IKWF/USAW CARD # for each entry. Each entry must be accompanied by a signed release form (see below). Coaches are responsible for payments and providing accurate information.
Payment: Check-in: Scheduled Start: Bracketing: Awards: Admission: Concessions: Information:
$20 / wrestler – Please make one team check to Panther Powerhouse Wrestling 7-8:00 AM 9:00 AM 4-man round robin 1st-3rd place (8 & Under 1st-4th) $3.00 Individual, $6.00 Family Concessions will be available – NO COOLERS Nathan Scalf, Head Coach: (618) 318-0476
ALL WRESTLERS MUST WEAR APPROVED WRESTLING GEAR
RELEASE FORM NAME: ___________________________________ IKWF/USAW#: _________________________ TEAM:____________________________________ RECORD: W:____________ L:_____________ DATE OF BIRTH:____________________________ PHONE: (_____)_________________________ AGE GROUP:_______________________________(6&U, 7‐8, 9‐10, 11‐12, 13‐14 ) In consideration of acceptance of this entry, I shall be legally bound hereby for myself and my heirs, executors and administrators, to waive, release, and indemnify to hold harmless the Panther Powerhouse Wrestling Club, the IKWF, their agents, representatives, and comities from any and all claims or rights to damage from injuries or losses suffered by me directly or indirectly in training for, traveling to or from, or competing in, and or attending the 2018 Panther Powerhouse Open. ____________________________________________________________________________________ Parent or Guardian Signature Date
Sunday, February 18, 2018
Location:
Pinckneyville Community High School 600 E Water St
Pinckneyville, Il 62274 Registration:
Pre-registration ONLY! Capped at 300 entries. DEADLINE is Thursday, February 15th at 10:00 PM. Email team entries to [email protected] Provide NAME, AGE, WEIGHT, RECORD, and IKWF/USAW CARD # for each entry. Each entry must be accompanied by a signed release form (see below). Coaches are responsible for payments and providing accurate information.
Payment: Check-in: Scheduled Start: Bracketing: Awards: Admission: Concessions: Information:
$20 / wrestler – Please make one team check to Panther Powerhouse Wrestling 7-8:00 AM 9:00 AM 4-man round robin 1st-3rd place (8 & Under 1st-4th) $3.00 Individual, $6.00 Family Concessions will be available – NO COOLERS Nathan Scalf, Head Coach: (618) 318-0476
ALL WRESTLERS MUST WEAR APPROVED WRESTLING GEAR
RELEASE FORM NAME: ___________________________________ IKWF/USAW#: _________________________ TEAM:____________________________________ RECORD: W:____________ L:_____________ DATE OF BIRTH:____________________________ PHONE: (_____)_________________________ AGE GROUP:_______________________________(6&U, 7‐8, 9‐10, 11‐12, 13‐14 ) In consideration of acceptance of this entry, I shall be legally bound hereby for myself and my heirs, executors and administrators, to waive, release, and indemnify to hold harmless the Panther Powerhouse Wrestling Club, the IKWF, their agents, representatives, and comities from any and all claims or rights to damage from injuries or losses suffered by me directly or indirectly in training for, traveling to or from, or competing in, and or attending the 2018 Panther Powerhouse Open. ____________________________________________________________________________________ Parent or Guardian Signature Date
