High School Wrestling Room (South Balcony of H.S. Gym)

CLUB 1st & 2nd Grade REGISTRATION: Monday November 9thTH, 6:00 pm High School Wrestling Room (South Balcony of H.S. Gym)

Parent Meeting and Registration on Monday November 9 th @ 6:00 pm in BHS Wrestling Room

The Blair Wrestling Club will begin youth wrestling practices at 6:00pm on Monday, November 16th, for 1st & 2nd grade. Practice for 1-2 grades will be held in the Otte Middle School Wrestling room (East Side of Gym) Practices will be every Monday and Thursday evening from 6:00pm to 7:30pm. Wrestling practice will run th th st nd November 16 – March 17 for some 1 & 2 grade wrestlers.

If you have any questions, contact Terry Bellamy at (402) 250-2393 or email at [email protected]

Student Name: ______Grade: ______

Home Phone Number: ______Parents Names: ______

Parent Email: ______

My child has my permission to participate in the Youth Wrestling program sponsored by the Blair Wrestling Club. I accept full responsibility for the participation of my child and agree not to hold the sponsors or their representatives in any way responsible for injury that may occur during my child’s participation. I understand that my child may be removed from the program for noncompliance with the stated rules and/or directives from the program representatives.

Signature of Parent or Guardian: ______

Check One: ______$60.00 per child _____ $90.00 per family

Deposits:

** $50 deposit will be returned if you fulfill your worker duties at the BWC Tournament.

**$100 deposit will be returned once your child’s singlet is returned in the same condition as it was received.

Please make checks payable to BLAIR WRESTLING CLUB (BWC) - total of three checks

All Wrestlers who sign up will receive a BWC T-shirt.

T-shirt Size (circle one)

Youth Small Youth Medium Youth Large

Adult Small Adult Medium Adult Large

*There will be additional BWC apparel sold separately.