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2010 World Wrestling Camps - Registration Form
last updated: 2010-03-05 15:54:26

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**JUNE 1st - DELL CAMP**       **DEADLINES**      **JULY 1st - DUBUQUE CAMP**

   
 

NAME(s)_________________________________________________________________________________________________

 

ADDRESS________________________________________________________________________________________________

 

CITY __________________________________________________________   STATE________________   ZIP _______________

 

HOME PHONE ___________________________________________         CELL PHONE­­___________________________________

E-MAIL ADDRESS(es)_____________________________________________________________________________________________

 

SCHOOL /CLUB __________________________________________________________­­_  GRADE (Fall 2010) ________________

 

BIRTHDATE __________________________­­­­____     AGE  _____________  HEIGHT  ___________­­­___     WEIGHT ______________

 

TEAM COACH OR NAME OF FATHER/GUARDIAN (If applicable)_____________________________________________­­__________

T-SHIRT SIZE (circle one (circle 2 for father/son camp))    S          M          L           XL          XXL          XXXL

 
 
   

TEAM DUALS CAMP SELECTION 

[__] Dells Full Resident @ June 27-30 Camp I                                                [__] Dells Commuter @ June 27-30 Camp I

[__] Dubuque Full Resident @ July 28-31 Camp II                                          [__] Dubuque Commuter @ July 28-31 Camp II

     T-shirt, All Meals, Housing @ Resort, Water Park Pass                                             T-shirt, Noon Meal

     [__] $365/camper (teams w/1-10 campers)                                                                [__] $170/camper (teams w/1-10 campers)

     [__] $350/camper (teams w/11 or more campers)                                                      [__] $155/camper (teams w/11 or more campers)

[__] Dubuque Outdoor Camper Commuter @ July 28-31 Camp II

T-shirt, All Meals @ Resort, Transportation; Camp includes easy access to Hiking, Swimming, Fishing

[__] $265/camper (teams w/1-10 campers)

           [__] $255/camper (teams w/11 or more campers)


FEET TO BACK CAMP SELECTION (check one)

[__] Dells Full Resident @ June 27-30 Camp I                                                [__] Dells Commuter @ June 27-30 Camp I

[__] Dubuque Full Resident @ July 28-31 Camp II                                          [__] Dubuque Commuter @ July 28-31 Camp II

      T-shirt, All Meals, Housing @ Resort, Water Park Pass                                 T-shirt, Noon Me

      $450/camper                                                                                                          $170/camper

[__] Dubuque Outdoor Camper Commuter @ July 28-31 Camp II

T-shirt, All Meals @ Resort, Transportation; Camp includes easy access to Hiking, Swimming, Fishing

[__] $265/camper


FATHER/SON CAMP SELECTION (check one):

[__] Dells Full Resident @ June 27-30 Camp I                                                [__] Dells Commuter @ June 27-30 Camp I

[__] Dubuque Full Resident @ July 28-31 Camp II                                          [__] Dubuque Commuter @ July 28-31 Camp II

      T-shirt, All Meals, Housing @ Resort, Water Park Pass                                 T-shirt, Noon Meal

      $475/Father/Son (Pair)                                                                                         $200 / Father / Son (Pair)

      *Add $150/ Additional (wife, son, family member) – limit 2                           *Add $75 / additional commuter camper – limit 2

      *Additional members will stay in same room with Father/Son

   *1)___________________________________________________*2)_____________________________________________

*Name/Age/T-shirt Size of Additional Members

[__] Dubuque Outdoor Camper Commuter @ July 28-31 Camp II

T-shirt, All Meals @ Resort, Transportation; Camp includes easy access to Hiking, Swimming, Fishing

[__] $310/Father/Son (Pair)

Checks Payable:  Dubuque Wrestling Academy              Mail to:  2345 Sunnyslope Drive Dubuque, IA 52002

**$25 FEE FOR EACH REGISTRATION RECEIVED AFTER THE DEADLINE**

 TEAM DUALS Coaches MUST MAIL in $500 TEAM DEPOSIT by May 1st  (30 TEAM LIMIT)

 



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