June 13Th & 14Th 2015
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nd “PRIMED 4 GOLD” 2 Annual Elite Wrestling Camp June 13/14, 2015 FOR MORE INFO - EMAIL: [email protected] PRIME ATHLETICS CORPORATION Presents: FEATURED HOST(s) PRIMED 4 GOLD CAMP SERIES Bubba Jenkins nd 2 Annual Elite Wrestling Camp Featuring – Bubba Jenkins is an American mixed martial artist and former collegiate wrestler. He grew up in Virginia Beach, Virginia and is well th th known for winning the 2011 NCAA Division I Championship at June 13 & 14 2015 157 lbs. for Arizona State University. Jenkins currently fights for the Number Two mixed martial arts promotion in the world, “It’s not about who you are today… Bellator Fighting Championships in the Lightweight division, and but who you’ll be tomorrow” is ranked a top 5 fighter in their Lightweight Division. Jenkins wrestled for Cox High School and graduated from First Colonial High School. Jenkins was a four-time letter-man, one- time Virginia state champion and five-time high school national champion. After high school, Jenkins joined the Penn State Nittany Lions wrestling squad for the 2006-2007 season. Jenkins wrestled for Penn State for four years before academic restrictions kept Jenkins from wrestling his senior year. Jenkins moved to Arizona State University for his senior year (2010- 2011 season). It was at ASU where Jenkins won the 2011 NCAA Division I Championship at 157 lbs. Bubba Jenkins was also freestyle Junior World Champion. Listed Accolades 1X NCAA 157 Pound Champion (2011) 2X NCAA Finalist 2X NCAA All American 1X PAC 10 Conference Finalist Eligibility – Grades 5 and up nd 1X BIG 10 Conference Finalist Primed 4 Gold: 2 Annual Elite Wrestling (Great for Middle School, High School & College Camp (Featuring Bubba Jenkins) Wrestlers as well as MMA Fighters with 2007 Junior World Freestyle Champion Presented by Prime Athletics Corporation As well as: Brick Road Wrestling Club, Northeast wrestling know-how) 5X High School National Champion Financial Strategies Inc and Masswrestling.com. For More Info email: [email protected] “In the End, we only REGRET the Chances we DID NOT take” REGISTRATION WAIVER/CONSENT FORM Please complete IN FULL the registration and consent form below. As the parent or legal guardian of the registrant named above on the Please mail either full payment of Early Rate or a non-refundable registration form, I hereby give my full consent and approval for my Cost – $200.00 per Wrestler $75.00 deposit on full rate (made out to: PRIME ATHLETICS) as well child to participate in this camp without problem or hesitation. as this form to enroll in the 2015 Primed 4 Gold Elite Wrestling Camp. I understand that there are certain risks of injury inherent in the practice $150.00 per Wrestler * [Balance can be paid onsite] and play of this sport, as well as in traveling and other related activities *This Rate is only for EARLY Registration incidental to my child’s participation, and I am willing to assume these ARRIVE BEFORE May 9, 2015 Registrants First Name: risks on behalf of my child. I hereby certify that my child is fully capable of participating in Wrestling and that my child is healthy and $125.00 per Wrestler ** __________________________________________ has no physical or mental disabilities or infirmities that would restrict **This Rate is for “teams/clubs/schools” who register full participation in these activities, except listed below. 8 or more for this camp. Each Registrant must have a separate registration and consent form; all must be Registrants Last Name: In addition to giving my full consent for my child’s participation, I do mailed together in one envelope in order to arrive hereby waive, release and hold harmless the organization(s) named together. This must be postmarked by April 27, ___________________________________________ below, its officers, coaches, sponsors, supervisors, instructors and 2015 THE LASTEST. representatives for any injury that may be suffered by my child in the normal course of participation in wrestling and the activities incidental Cap – There is a Maximum of 70 registrants permitted Registrants Email (if available): thereto, whether the result of negligence or any other cause. Organizations: Prime Athletics, Brick Road Wrestling Club, Mass Eligibility – Grades 5 and up ___________________________________________ Wrestling, Northeast Financial Strategies, Patino Diet and Primed 4 Gold. Location – Brick Road Wrestling Club (155 Millenium Circle, Lakeville, MA 02347) Date of Birth: ______________________ Grade: _________________ Please list any physical limitations (allergies, hearing, sight, etc.): _________________________________________________________ Contact Info – [email protected] (Sean Rockwell – Weight: _________________________ Chairman/CEO Prime Athletics) _________________________________________________________ What you get – Powered by one of New England’s premier wrestling Clubs – Brick Road; Prime Athletics is giving registered participants of the “Primed 4 Gold” Elite Wrestling Camp over 10 Hours of Experience Level: _________________________________________ _________________________________________________________ (Novice, Beginner, Intermediate, Advanced, Fighter) Instruction one of the best wrestlers in the country, Bubba Jenkins, as well as other highly skilled Councilors. You will spend 4 sessions Parent/Guardian Name: ______________________________________ learning technique from one of the greats, with the ability to pick his brain as well as all the other instructors. School/Club Name: _________________________________________ Additional – Bubba will have products for sale after the last session on Parent/Guardian Email: ______________________________________ the last day. Please bring cash for purchase. Also, Prime Athletics will be set up on the last day, offering the highest quality athletic apparel School/Club Coach Name(s): _________________________________ and gear for a discounted camp rate. Be sure to get some world respected shorts for training as well as other incredible items. Parent/Guardian Signature: ___________________________________ Emergency Contact Name: ___________________________________ This camp is set for all levels of experience. It is designed for Send your completed Registration and Parent/Guardian Waiver individuals and teams who seek advanced techniques that will help each wrestler reach his/her ultimate potential. The along with your check payable to: nationally renowned wrestling style of Bubba Jenkins teaches a E. Contact Phone: __________________________________________ Prime Athletics Corporation system of wrestling that works equally well for beginners 11 Algonquin Road through highly advanced wrestlers. Whether finishing your first season… or becoming an All-State Champion, the “Primed 4 Mailing Address: __________________________________________ Canton, MA 02021 Gold” Elite Wrestling Camps will help raise you to the next level. .