BRUCE BAUMGARTNER'S 2012 WORLD-CLASS EDINBORO WRESTLING CAMP REGISTRATION FORM

NOTE: To register, please fill out this form and click submit at the bottom.

NAME:
ADDRESS:
CITY: STATE: ZIP:
HOME PHONE: EMAIL:
GRADE ENTERING (Fall 2012): SCHOOL:
ADULT T-SHIRT SIZE: Small Medium Large X-Large XX-Large XXX-Large
ROOMMATE PREFERENCE (list at most one):

PARENT/GUARDIAN AUTHORIZATION: My son has had a recent physical examination and is physically able to participate in all camp activities and is free from infectious diseases. I relieve the directors and Edinboro University of Pennsylvania of any responsibilities should any accidents occur. I give consent for the Edinboro athletic trainers and doctors to treat my son in case of injury or illness. I understand this wrestling camp is a strenuous and physical activity and serious injury may result in camp participation.
Agree to terms:

     SELECT A CAMP:

    TEAM CAMP I RESIDENT (5 day) • June 24 - June 28 • $385
    TEAM CAMP I COMMUTER (5 day) • June 24 - June 28 • $275
    TEAM CAMP II RESIDENT (5 day) • July 8-12 • $385
    TEAM CAMP II COMMUTER (5 day) • July 8-12 • $275
    TECHNIQUE CAMP I RESIDENT (4 day) • June 24-27• $340
    TECHNIQUE CAMP I COMMUTER (4 day) • June 24-27• $245
    TECHNIQUE CAMP II RESIDENT (4 day) • July 1-4 • $340
    TECHNIQUE CAMP II COMMUTER (4 day) • July 1-4 • $245
    TECHNIQUE CAMP III RESIDENT (4 day) • July 8-11 • $340
    TECHNIQUE CAMP III COMMUTER (4 day) • July 8-11 • $245
    HEAVYWEIGHT SCHOOL I • July 7-12 • $525
    HEAVYWEIGHT SCHOOL II • July July 29 - August 2 • $525
    HEAVYWEIGHT TRAINING CAMP • July 7-13 • $625
    TAKEDOWN & TURN CAMP I • June 28 - July 1 • $325
    TAKEDOWN & TURN CAMP II • July 5-8 • $325
    FLYNN/MOORE TRAINING CAMP I • July 1-6 • $480
    FLYNN/MOORE TRAINING CAMP II • July 8-13 • $480
    FLYNN/MOORE TRAINING CAMP III • July 29 - August 2 • $480
    FLYNN/MOORE TRAINING CAMP 2-WEEK • July 1-13 • $925
    SMALL WORLD TECHNIQUE CAMP - COMMUTER ONLY • July 2,3,5,6 • $50
    COACH WITH TEAM • $195
    COACH WITHOUT TEAM • $275
Eligble for the $25 group discount?
     Team with 10 or more wrestlers.

Camp Fee:
  $
Online Processing Fee:
  $
Group Discount:
  $-
*Total:
  $
*This is the amount charged.
   -PAYMENT INFO-
   Payment Via Secure Paypal
                       


For more information please contact Bruce Baumgartner at bbaumgartner@edinboro.edu or Tim Flynn 814-732-1856 tflynn@edinboro.edu. Visit www.brucebaumgartner.com for more information about Bruce Baumgartner. Mail information requests to Bruce Baumgartner, Edinboro University, 455 Scotland Rd. Edinboro, PA 16444.