Premier Technique Camps and Newark Wrestling Present
Logan Stieber-4x NCAA Champ
Joel Greenlee-HC at OU
Dijulius-3xNCAA Qual.
Bill Schindel-HC at Mount Union Hinkle-National Champ Nate Brown-2nd NCAA 4th Annual Newark Summer Technique and Competition Camp (Ashland Duals) Online or mail-‐in registration-‐-‐-‐Open to all ages K-‐12!-‐-‐-‐Accepting PayPal pymts. Costs:
Single Session $65 *Checks payable to Newark Athletic Boosters Silver Pkg. (all tech. sessions) $150 *Please visit the website below for online Gold Pkg. (tech. sessions & Duals) $225 registration, addt’l camp info., clinician bios, Ashland Duals info., & to pay for camp via PayPal
Time/Dates:
10am-‐3pm w/1 hr. lunch break-‐(Doors open at 9am) Thurs. June 4th-‐Logan Stieber & June 8th-‐13th for the remainder of the clinicians/camp. *Dates are not consecutive due to Logan’s training schedule as he prepares for the World Team Trials.* Camp Location: Wilson Middle School Mail Payment to: Newark High School-‐C/O Coach Martinez 805 West Church St. 314 Granville St. Newark, OH 43055 Newark, OH 43055 Camp webpage (copy and paste into browser): Visit the camp webpage on the left or http://nhswildcats.com/hq/newark-‐wrestling-‐camp-‐2015/ scan QR code for the webpage, online https://www.facebook.com/newarkwrestling https://www.facebook.com/groups/newarkyouthwrestling
registration, & payment
https://twitter.com/nhswildcat1
Traditional/paper mail-‐in registration below Online registration and paypal payments can be done at the above webpage on nhswildcats.com Check desired camp package (use separate form per wrestler): Single Day Package (6/15-6/19) $65 ☐ Silver Package (6/4 & 6/8-6/11) $150 (Technique sessions only) ☐ Gold Package (6/4 & 6/8-6/13) $225 Technique sessions and Ashland Duals) Make Checks payable to: Newark Athletic Boosters Contact Information: Jose’ Martinez 614-325-0190
[email protected] Send Payment to: Newark High School C/O Coach Martinez 314 Granville St. Newark, OH 43055
Total Enclosed: __________________ T-Shirt Size: _________
The undersigned, on behalf of ___________________________________ a minor whose birthday is _____________________, and for whom the undersigned is the natural or legal guardian, hereby releases the Newark High School, Premier Technique Wrestling organization, Wilson Middle School, its administrators, coaches, and employees, from any and all liability of whatever nature relating to or in any manner arising out of the use of such minor of the Wilson Middle School wrestling facilities. Furthermore, the undersign agrees to indemnify and hold harmless all previously mentioned parties, from any suit or other legal proceeding, including, but not limited to, attorneys’ fees with respect to the use of the facilities or any part of them by the minor named above. This release and indemnification shall be binding upon the personal representatives, heirs, and assigns of the undersigned and of the minor named above. I acknowledge that I have read the foregoing paragraph, that I understand it, that I have the option to have it reviewed by legal counsel prior to signing, and that I agree to it. x___________________________________________________ _____________ Printed name of Parent/Guardian Date x___________________________________________________ _____________ Signature of Parent/Guardian Date Name of Wrestler: _________________________________________ Age: _________ Address: _______________________________________________________________ City: _______________________________ State: __________________ Zip Code: ___________ Phone Number: _________________________________School/Grade:__________ Email: ______________________________________ Emergency Contact Name & Phone Number x______________________________ ___________________