Featuring
Bruce Baumgartner
US Olympic Wrestling Champion &
International Wrestling Hall of Fame Inductee

MAKING WRESTLING CHAMPIONS
Step 1, Registration:


Olympic Mountain Wrestling
Camp Registration Form

I hereby register my child for the Olympic Mountain Wrestling Camp and authorize its staff to direct his/her participation in camp activities. My child has had a recent physical examination and has no medical (including infectious diseases) or emotional problems that could affect his/her ability to safely participate in camp.  Your staff is authorized to treat any health problem or injury my child might incur while attending camp (including emergency treatment).  I understand that my child must have current medical insurance before attending camp and I have included a copy of the policy.  The camp has my permission to use my child's likeness in promotional materials.  I understand that my deposit is non-refundable. Neither myself nor my child will hold Olympic Mountain Wrestling Camp, Port Angeles High School, or its affiliates responsible for injuries or expenses related to injuries incurred while my child is at camp.  I have read this brochure and agree to all of its terms and conditions.

I have read and agree to these terms


Wrestler Name


USA Wrestling Card Number

If wrestler does not have, they will be charged $35
for card at time of registration

Address

City

State

ZIP

e-mail

Age


Grade

Team

Weight

Please select your shirt size

Parent / Guardian name (self if over 18)

Health Insurance Provider

Policy Number

Emergency Contact name

Emergency Contact Phone

Medical History/Conditions (asthma, diabetes, etc)


Please bring proof of insurance and your current USA wrestling card to camp.

Proof of insurance and liability waiver required in order to register.

Please bring proof of insurance and your current USA wrestling card to camp.
Proudly supported by
Swain's Port Angeles
- A part of the community since 1957