PONCA WRESTLING CLUB FOLKSTYLE TOURNAMENT
At the
PONCA HIGH SCHOOL GYMNASIUM
SATURDAY MARCH 17TH ,2007
WEIGH INS: Pre-K, 1st-2nd, 3rd-4th @ 9:00-9:30am
Wrestling starts at 9:45am (half mat)
WEIGH-INS: 5th-6th, & 7th-8th @ 9:00-10:00am
Wrestling starts after 3rd-4th (Full mat)

MAILED ENTRIES DUE BY MARCH 15TH, OTHERWISE PAY AT THE DOOR
MAILED ENTRIES: $8.00
AT THE DOOR: $10.00
MAKE CHECKS PAYABLE TO PONCA WRESTLING CLUB
MAIL TO: Keith Trusty
58812 8845 road
Ponca, NE 68770
Ponca Wrestling Coach
402-755-2319
email: ktrusty@esu1.org

$1.00 donation at the door
Concession Stand
High School rules except:, (Pre-4th gr --Start Neutral all periods, 3-one min. periods),
(Pre-6th --No standing headlocks, 3-one minute periods)
(7th-8th 3-one minute periods)
3 or 4-Man Round Robin Brackets, Medals awarded.
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PONCA WRESTLING CLUB TOURNAMENT ENTRY FORM
IN CONSIDERATION OF ENTERING THE PONCA WRESTLING CLUB, TOURNAMENT BY SIGNING THIS ENTRY, I HEREBY FOR MYSELF, MY HEIRS AND EXECUTORS, DO WAIVE AND RELEASE ALL CLAIMS FOR DAMAGES AGAINST THE PONCA WRESTLING CLUB, PONCA PUBLIC SCHOOLS, THE CITY OF PONCA, PONCA IMPROVEMENT CLUB, ALL AGENT REPRESENTATIVES (COACHES) AND ASSIGNS, FOR ANY AND ALL INJURIES SUFFERED BY ME OR MY CHILD DURING THE WRESTLING COMPETITION.

Name_________________________________ grade___ Weight__________

Address_______________________________________________________

City_____________________St____________Zip_____________________

Phone___________________Emerg.contact____________Ph____________

Parent Signature_______________________________________Date__________