LICKING VALLEY WRESTLING
[LEFT] “Tournament of Champions Qualifier”[/LEFT]Sunday FEBRUARY 5, 2012
LICKING VALLEY HIGH SCHOOL: 100 Hainsview Dr. Newark, OH, 43055
[h=1] ENTRY FEE: $15.00 if Pre-Registered by Feb 1st, 2012. $20 for walk-ins. [/h][h=1] (CHECKS PAYABLE TO: LICKING VALLEY WRESTLING)[/h]LICKING VALLEY HIGH SCHOOL: 100 Hainsview Dr. Newark, OH, 43055
BANTAM (7-8) 45-50-55-60-65-70-75-80-95-HWT
MIDGET (9-10) 50-55-60-65-70-75-80-85-90-100-115-HWT
JUNIOR (11-12) 65-70-75-80-85-90-95-100-105-112-120-125-130-140-155-HWT
THIS IS A POOL TOURNAMENT.
YOU WILL WRESTLE EVERYBODY IN YOUR POOL or Bracket depending on Number of wrestlers.
WEIGH- INS:will be, Sunday, FEB 5, 7:00-9:00 am. In Licking Valley Wrestling room.
RULES: Modified High school rules. 2- 1 ½ minute periods. Birth Certificates must be shown.
[h=3]WRESTLERS MAY ENTER MORE THAN ONE DIVISION, BUT MAY ONLY ENTER ONE WEIGHT CLASS A DIVISION. AN EXTRA ENTRY FEE MUST BE PAID TO DO THIS.[/h]Breakfast will start being served at 7:00am. Cafeteria will be opened all day.
Wrestling Starts at 10:00am
Tournament director, Jeremy Tate (740)-787-2161, email: [email protected]
SEND REGISTRATION: Jeremy Tate 10998 Hewitt Rd. Newark Ohio 43056
( No later than Feb 1st)
COMPLETE THIS FORM AND BRING IT FOR EVERY WRESTLER ENTERED. OR SEND REGISTRATION
BIRTH DATE_________________AGE______________ TEAM_______________________
[LEFT]ADDRESS____________________________________ CITY________________________[/LEFT]
IN CONSIDERATION OF MY ENTRY, MY LEGAL HEIRS AND I HERBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I
MAY HAVE AGAINST Licking Valley HIGH SCHOOL, TOURNAMENT OFFICIALS, SPONSORS OR ADMINISTRATION FOR ANY AND ALL INJURIES
SUFFERED BY ME IN CONNECTION WITH SAID WRESTLING TOURNAMENT.
PARENT/GUARDIAN SIGNATURE_________________________DATE______________
