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[DSJ Coach]

Premier Technique Wrestling Presents:

Bo Jordan--4X State Champion and Jr. Hodge Trophy winner, NCAA All-American...and Kyle Snyder--3X State Champion and All-American, NCAA Runner-Up, and the 2015 U.S. Open Champion (defeating Olympic Gold Medalist, Jake Varner!) will be at Delphos St. John High School on Thursday, July 9 (Kyle Snyder) and Friday, July 10 (Bo Jordan).

This epic camp with two of Ohio State's top young guns will go each day from 10am to 3pm. Wrestlers pack a lunch each day.

What: Premier Technique Wrestling Camp at Delphos St. John High School
Address: 513 East 2nd Street, Delphos, OH 45833
Clinicians: Bo Jordan and Kyle Snyder
When: July 9, 10 - 10am to 3pm each day
Cost: 90.00
What to Wear: Wrestling practice attire and wrestling shoes
What to Bring: Packed Lunch, and an Attitude to Learn!

Questions? Contact Derek Sterling at (419)-234-5600 or dsjwrestlingcoach@gmail.com

Make check out to Derek Sterling. Print and fill out registration sheet below (copy and pasting it to a Word Document may work best), and send with payment to:

Derek Sterling
912 Metbliss Ave
Delphos, OH 45833

***

Registration: The undersigned, on behalf of ___________________________________ a


minor whose birthday is _____________________, and for whom the


undersigned is the natural or legal guardian, hereby releases the Premier Technique Wrestling organization, its administrators, coaches, and employees, from any and all liability of whatever nature relating to or in any manner arising out of the use of such minor of the Delphos St. John wrestling facilities. Furthermore, the undersigned agrees to indemnify and hold harmless the Premier Technique Wrestling organization, Delphos St. John, its administrators, employees, and coaches, from any suit or other legal proceeding, including, but not limited to, attorneys’ fees with respect to the use of the facilities or any part of them by the minor named above. This release and indemnification shall be binding upon the personal representatives, heirs, and assigns of the undersigned and of the minor named above.

I acknowledge that I have read the foregoing paragraph, that I understand it, that I have the option to have it reviewed by legal counsel prior to signing, and that I agree to it.


x_________________________________________________
Printed name of Parent/Guardian Date


x_________________________________________________
Signature of Parent/Guardian Date facilities


Name of Wrestler: _________________________________________ Age: _________


Address: _____________________________________________


Zip Code: ___________

City: _______________________________ State: __________________


Phone Number: ____________________ School_____________________