BRUCE BAUMGARTNER'S 2010 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 2010): 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 DORM RESIDENT • June 27 - July 1 • $360
    TEAM CAMP I SUITE RESIDENT • June 27 - July 1 • $385
    TEAM CAMP I COMMUTER • June 27 - July 1 • $275
    TEAM CAMP II DORM RESIDENT • July 11-15 • $360
    TEAM CAMP II SUITE RESIDENT • July 11-15 • $385
    TEAM CAMP II COMMUTER • July 11-15 • $275
    TECHNIQUE CAMP I DORM RESIDENT • June 27 - July 1 • $360
    TECHNIQUE CAMP I SUITE RESIDENT • June 27 - July 1 • $385
    TECHNIQUE CAMP I COMMUTER • June 27 - July 1 • $275
    TECHNIQUE CAMP II DORM RESIDENT • July 4-8 • $360
    TECHNIQUE CAMP II SUITE RESIDENT • July 4-8 • $385
    TECHNIQUE CAMP II COMMUTER • July 4-8 • $275
    TECHNIQUE CAMP III DORM RESIDENT • July 11-15 • $360
    TECHNIQUE CAMP III SUITE RESIDENT • July 11-15 • $385
    TECHNIQUE CAMP III COMMUTER • July 11-15 • $275
    HEAVYWEIGHT SCHOOL DORM • July 4-9 • $490
    HEAVYWEIGHT SCHOOL SUITE • July 4-9 • $520
    HEAVYWEIGHT TRAINING SCHOOL DORM • July 4-10 • $590
    HEAVYWEIGHT TRAINING SCHOOL SUITE • July 4-10 • $625
    TAKEDOWN & TURN CAMP I SUITE • July 1-4 • $315
    TAKEDOWN & TURN CAMP II SUITE • July 8-11 • $315
    FLYNN/MOORE TRAINING CAMP I SUITE • July 4-9 • $475
    FLYNN/MOORE TRAINING CAMP II SUITE • July 11-16 • $475
    FLYNN/MOORE TRAINING CAMP 2-WEEK SUITE • July 4-16 • $910
    SMALL WORLD TECHNIQUE CAMP - COMMUTER ONLY • July 5-8 • $50
    COACH WITH TEAM • $165
    COACH WITHOUT TEAM • $265
Eligble for the $30 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.