The Band of Warriors

#BOW

The Band of Warriors

Are Back!

Featuring

Jimmy Eggemeyer- 2x high school state champion, high school All-American, 2012 NAIA national runner-up. 2013 NAIA National Champion, Assistant Wrestling coach at Southern Oregon University

Brock Gutches- 2x high school state champion, Greco-Roman National Champion, 4x NAIA National Champion @ 174 lb. 2015 National Greco Team Member

Miguel Baltazar-4x high school state champion, 3x high school All-American, NAIA National All-American, three-time OACA Assistant Coach of the Year

Ron Lee- 2x high school state champion, NCAA Div. 1 national qualifier, NAIA National All-American, Assistant Crater H.S. wrestling coach

March 19-20

Culver High School Gym

Camp includes six full sessions of wrestling, technique, live wrestling, mat games, and pep talks

Cost is $60 per wrestler

Schedule

8:15-8:50 a.m. Check-in and Registration (Day one only)

9:00-11:00 a.m. Session one instruction/technique/live scenarios

11:00-12:00 p.m. Lunch

12:00-2:00 p.m. Session two instruction/technique/live scenarios

2:30-4:30 p.m. Session three live wrestling & pep talk

2016 Band of Warriors Wrestling Camp Registration Form

Bring Registration to Check-in on first day of Camp

Insurance

You must provide a primary insurance carrier. All campers must have primary insurance to attend the wrestling camp.

Primary Medical Insurance Carrier and Policy Number

I hereby, authorize the staff of Band of Warriors Wrestling Camp to act for me according to their best judgment in any emergency requiring medical attention. I also hereby wave and release Culver School District, Culver Mat Club, and the staff of Band of Warriors Wrestling Camp from any and all liability for any injuries sustained while my son/daughter is at Camp. I have no knowledge of any physical impairment that would affect my son/daughter’s participation in the camp.

Camper’s Name ______DOB______

Name of Insurance Company______

Policy Number______

Parent/Guardian Name (please print)______

Signature of Parent/Guardian______Date______

Participants Name (please print)______

Signature of participant ______Date______

Emergency Contact Information (please print)

Contact #1: name/relation/number______

Contact #2: name/relation/number______

Special Medical Conditions (i.e. asthama)______

For questions contact Miguel Baltazar @ 541.279.7318 or JD Alley @ 541.948.3520