Youth, Junior High and High School

2017 WRESTLING CAMP

***PRE- REGISTRATION IS HIGHLY ENCOURAGED***

DATE & TIME: Wednesday June14th (5pm-8pm), ThursdayJune 15th (5pm-8pm), Friday June 16th (5pm-8pm) Dinner will be at 7pm. Every family needs to bring a side dish and their own drink.

LOCATION: Little Miami High School Gym

AGES: Grades K-12 (This camp is for Little Miami students ONLY!)

COST: $50(Checks payable to LITTLE MIAMI ATHLETIC BOOSTERS and send to: Chad Craft 1702 West Street Cincinnati, Ohio 45212

CONTACT: Chad Craft (937)-673-3470 OR

REGISTRATION: Please register before the day of the camp.

CAMP FORMAT:

Youth (Grades K-6) 5:00pm – 6:00pm each day

Junior High and High School (Grades 7-12) 5:00pm-8:00pmeach day

Friday 16th – Dinner for all families, each family needs to bring a side dish and their own drink

***ALL HIGH SCHOOL WRESTLERS MUST ATTEND THE YOUTH CAMP***

PRE-REGISTRATION (Highly encouraged so I know how many shirts to order!)

NAME:______GRADE:______

ADDRESS:______PHONE #:______

PARENT SIGNATURE:______EMERGENCY PHONE #:______

EMAIL ADDRESS:______

SHIRT SIZE (circle): YS YM YL S M L XL XXL

Checks payable to LITTLE MIAMI ATHLETIC BOOSTERS and send to Chad Craft 1702 West Street Cincinnati, Ohio 45212 OR bring payment to first day of camp.

ASSUMPTION OF RISK/RELEASE OF ALL CLAIMS (under the age of 18) As a parent/guardian of a child (as named below) under the age of eighteen (18) wishing to participate in Little Miami Wrestling Camp, taking place at Little Miami High School from June 14-16, 2017, I recognize and acknowledge that this camp carries a certain risk of personal injury. I agree, on behalf of myself and my child, to assume all such risks, including any damages resulting from physical injuries, death, loss of services or consortium, loss of damage to property, or any other loss which I or my child may sustain as a result of my child’s participation in this clinic.

I hereby give permission for my child to participate in the camp from June 14-16, 2017 In consideration of Little Miami School District Board of Education allowing my child’s participation in the clinic, I hereby, for myself, for my child, and for all heirs, executors, administrators, and assigns, forever release, waive, and relinquish all claims I or my child have or may have as a result of my child’s participation in the clinic. Furthermore, I promise on behalf of myself and my child not to sue the Little Miami School District Board of Education, or any of their officers, employees, or agents for actions or omissions arising from or connected with the clinic, and to indemnify and hold harmless the Little Miami School District Board of Education as a consequence my child’s participation in the clinic.

I understand that the terms of this Assumption of Risk and Release of All Claims are contractual and not a mere recital. I acknowledge that I have read and understand the information contained in this Assumption of Risk and Release of All Claims, and I sign this document of my own free will.

______Date______Signature of Participant/Phone #

______Date______Signature of Parent/Phone #