Camp Registration

Which Camp Are You Attending? (required)
Dream Season Overnight Camp - July 20 – 29, 2012 - Troy, MO

Wrestler's Name (required)

Address (required)

City (required)

State(required)

Zip (required)

Parent(s) Name(s)(required)

Email (required)

Home Phone (required)

Emergency Phone (required)

Work Phone

Wrestler's Current Height (required)

Wrestler's Current Weight(required)

Age (required)

Medical Insurance Company

Policy Number

By checking this box you acknowledge and agree to the medical waiver below and that you are over 18 years of age.
My son/daughter has been examined by a physician in the last year and is in good health. I hereby authorize the Foundation Wrestling Camp Staff to act for me, according to it's best judgment in any medical emergency, and I hereby waive and release the Foundation Wrestling staff from any liability for injuries or illness incurred by my son/daughter while attending camp. All information I have provided on this application is accurate.

Comments or Questions

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