PAL Raider Wrestling Camp 2017

PAL Raider Wrestling Camp 2017 For Students Entering Grades 1-9 Date: June 26 – 29

Time: 1:00 – 4:00pm

Location: SPFHS Gymnasium

Camp Director: Marc Fabiano, SPFHS Head Wrestling Coach Instructors: SPFHS Assistant Coaches, SPFHS Alumni Guest Clinicians, SPFHS Wrestlers SPFHS Alumni Guest Clinicians



Brian Lapham

JT Bierne

Alex Mirabella

All Time Wins Leader Bucknell University

NJSIAA State Qualifier The College of New Jersey

NJSIAA State Qualifier The College of New Jersey





ALL SKILL LEVELS WELCOME New to Experienced! Campers to be Grouped by Skill Level, Weight, Age

Cost: $130 Looking for a Full Day Camp Experience? A $20 discount (Cost = $110) will be provided for children also attending the 9am-12:30pm Raider Football Camp (making the camp day from 9am-4pm). Time will be provided from for campers to eat a packed lunch. Please return this portion along with payment by May 31, 2017 Child’s Name: ___________________________________ Age:______ Grade in Sept: _______Weight: _______ Address: ____________________________________ Parent Name (s) ___________________________________ Parent Cell Number(s) ________________________________________ Email: ____________________________ Emergency Contact ________________________________________ Cell Phone: __________________________ List any allergies, special needs, or medical alerts: ___________________________________________________ I do hereby give my child/ward, ________________________(child name), permission to participate in all activities in the SPF PAL Wrestling Camp. I do hereby waive, release and discharge the PAL, Scotch Plains-Fanwood High School Wrestling Staff, Guest Clinicians, and Current/Former Scotch Plains-Fanwood Wrestlers, SPFHS of any rights to claim damages resulting in an injury to persons or property that may be sustained or suffered by my child in connection with or participation in or arising out his/her traveling to and from the Scotch Plains-Fanwood Wrestling Camp. I agree to the above waiver and join herein.

Parent/Guardian Signature: _____________________________________________________ Date: _______________________ Amount Enclosed (Please Circle): $130 (wrestling camp only) $110 (if also attending football camp)

Please make checks payable to Marc Fabiano. Mail checks and the bottom of this form to: Marc Fabiano, Head Wrestling Coach, Scotch Plains-Fanwood HS, 667 Westfield Rd, Scotch Plains NJ 07076 Questions? Please Call Marc Fabiano @ 908 – 397 - 9046