John Hughes - League Athletics
DELAWARE VALLEY UNIVERSITY All- American WRESTLING CAMP DELAWARE VALLEY UNIVERSITY WRESTLING Technique/Intensive Training Camp - July 11-14, 2016 Grades 1st thru 12th
Camp Information This is a commuter camp
Location:
Work Gymnasium Wrestling Room 700 E. Butler Ave. Doylestown, Pa 18901
When:
July 11 thru 14, 2016 8am til 4pm (Early Drop-off can be arranged. Please Email or Call)
What to bring: Wrestling shoes Headgear Extra T-shirt Running Shoes Lunch Sunscreen (we will be doing outside workouts during the intensive training portion)
Contact Information/Questions:
Jim Wertman Head Asst. Wrestling Coach Delaware Valley University [email protected] 267-566-7532
Additional Registration Forms @ http://athletics.delval.edu/index.aspx?path=wrestling
John Hughes
Assoc. Head Coach, Lehigh University National Champion, Penn State University 3x All-American Gold Medalist Pan American Games University National Freestyle Champion Big Ten Champion 4x PIAA State Champion
Zach Roseberry
Current Hwt. Delaware Valley University 2x All-American, Delaware Valley University 2x NCAA East Regional Champion NCAA MAC Conf. Champion Virginia State Champion
Aaron Karns
Asst. Coach Delaware Valley University 3x All American, Delaware Valley University 3x NCAA East Regional Champion 2x NCAA MAC Conf. Champion PIAA AAA State Finalist
DELAWARE VALLEY UNIVERSITY All- American WRESTLING CAMP DELAWARE VALLEY UNIVERSITY WRESTLING Technique/Intensive Training Camp - July 11-14, 2016 Grades 1st thru 12th Commuter fee $275.00 (Commuter Camp Only) ** a $25.00 registration fee will be added to those registering after JULY 1st ** Mail application and payment to: DELVAL WRESTLING CAMP Attn: Wrestling Camp/Coach Wertman 700 E. Butler Avenue Doylestown, PA 18901 Please make checks payable to: DELAWARE VALLEY UNIVERSITY
Check enclosed
WRITE “Wrestling Camp” in the memo area of the check
Pay by Credit Card (You will be contacted on the phone by the school in order to pay by Credit Card) Wrestlers First Name ___________________________________ Last Name _________________________________________ Home Address ______________________________________________ City ______________________ State______________ Zip _____________ Birthdate ____________________ Wt _____________T-Shirt Size ______________ Age ___________ Parent First Name______________________________________Last Name__________________________________________ Parent Phone _______________________ Email ________________________________________________ Additional Emergency Contact Name__________________________________ Number_________________________ Indemnification by Parents or Guardians of Applicant I approve of my child’s attendance at Delaware Valley University Sports Camp and certify that he/she is in good health and able to participate in all activities. I ( am / am not ) attaching a statement explaining special physical limitations and/or required medication. Please indicate if your child suffers from allergies, asthma, diabetes, restricted activities, etc. In further consideration of Delaware Valley University accepting this application, I/we hereby agree to save and indemnify and keep harmless Aggies Wrestling Club. Delaware Valley University, its agents and employees against any and all liability, claims, judgments or demands for damages arriving as a result of injuries sustained by the applicant during or as a result of any course given the applicant by the Aggies Wrestling Camp. Furthermore, as a parent/legal guardian for this child, I understand it is my responsibility to provide Aggies Wrestling Club with a COMPLETE AND VALID PHYSICAL EXAMINATION FOR THIS CAMPER PRIOR TO THE START OF CAMP.
Health Insurance Company ____________________________________________________________ Policy Number ______________________________________________________________________ Signature of Parent or Guardian ____________________________________________________ Date _______________ Medical Treatment Authorization I/We being the legal guardians of the above applicant authorize the Aggies Wrestling Camp and its agents permission to request treatment as necessary to ensure the well-being of our dependent. Signature of Parent or Guardian ____________________________________________________ Date _______________ Incomplete Applications Will Not Be Accepted
Camp Information This is a commuter camp
Location:
Work Gymnasium Wrestling Room 700 E. Butler Ave. Doylestown, Pa 18901
When:
July 11 thru 14, 2016 8am til 4pm (Early Drop-off can be arranged. Please Email or Call)
What to bring: Wrestling shoes Headgear Extra T-shirt Running Shoes Lunch Sunscreen (we will be doing outside workouts during the intensive training portion)
Contact Information/Questions:
Jim Wertman Head Asst. Wrestling Coach Delaware Valley University [email protected] 267-566-7532
Additional Registration Forms @ http://athletics.delval.edu/index.aspx?path=wrestling
John Hughes
Assoc. Head Coach, Lehigh University National Champion, Penn State University 3x All-American Gold Medalist Pan American Games University National Freestyle Champion Big Ten Champion 4x PIAA State Champion
Zach Roseberry
Current Hwt. Delaware Valley University 2x All-American, Delaware Valley University 2x NCAA East Regional Champion NCAA MAC Conf. Champion Virginia State Champion
Aaron Karns
Asst. Coach Delaware Valley University 3x All American, Delaware Valley University 3x NCAA East Regional Champion 2x NCAA MAC Conf. Champion PIAA AAA State Finalist
DELAWARE VALLEY UNIVERSITY All- American WRESTLING CAMP DELAWARE VALLEY UNIVERSITY WRESTLING Technique/Intensive Training Camp - July 11-14, 2016 Grades 1st thru 12th Commuter fee $275.00 (Commuter Camp Only) ** a $25.00 registration fee will be added to those registering after JULY 1st ** Mail application and payment to: DELVAL WRESTLING CAMP Attn: Wrestling Camp/Coach Wertman 700 E. Butler Avenue Doylestown, PA 18901 Please make checks payable to: DELAWARE VALLEY UNIVERSITY
Check enclosed
WRITE “Wrestling Camp” in the memo area of the check
Pay by Credit Card (You will be contacted on the phone by the school in order to pay by Credit Card) Wrestlers First Name ___________________________________ Last Name _________________________________________ Home Address ______________________________________________ City ______________________ State______________ Zip _____________ Birthdate ____________________ Wt _____________T-Shirt Size ______________ Age ___________ Parent First Name______________________________________Last Name__________________________________________ Parent Phone _______________________ Email ________________________________________________ Additional Emergency Contact Name__________________________________ Number_________________________ Indemnification by Parents or Guardians of Applicant I approve of my child’s attendance at Delaware Valley University Sports Camp and certify that he/she is in good health and able to participate in all activities. I ( am / am not ) attaching a statement explaining special physical limitations and/or required medication. Please indicate if your child suffers from allergies, asthma, diabetes, restricted activities, etc. In further consideration of Delaware Valley University accepting this application, I/we hereby agree to save and indemnify and keep harmless Aggies Wrestling Club. Delaware Valley University, its agents and employees against any and all liability, claims, judgments or demands for damages arriving as a result of injuries sustained by the applicant during or as a result of any course given the applicant by the Aggies Wrestling Camp. Furthermore, as a parent/legal guardian for this child, I understand it is my responsibility to provide Aggies Wrestling Club with a COMPLETE AND VALID PHYSICAL EXAMINATION FOR THIS CAMPER PRIOR TO THE START OF CAMP.
Health Insurance Company ____________________________________________________________ Policy Number ______________________________________________________________________ Signature of Parent or Guardian ____________________________________________________ Date _______________ Medical Treatment Authorization I/We being the legal guardians of the above applicant authorize the Aggies Wrestling Camp and its agents permission to request treatment as necessary to ensure the well-being of our dependent. Signature of Parent or Guardian ____________________________________________________ Date _______________ Incomplete Applications Will Not Be Accepted
