purlerwrestling
05-06-2009, 12:42 PM
May 31 Takedown Machine Clinic (5 hours of takedowns)
Focus – Secondary attacks…ways of scoring without shooting…great session for those who struggle with leg attacks.
Coach – Tony Pescaglia (Purler Wrestling Academy trainer)
Cost - $45 (made payable to PWA)
Where - Hickman High School (Columbia, MO)
Times – register @ 9:30 – 9:45 (please have this form filled out and payment attached upon arrival)
Sessions -
Session I – 10:00 – 12:30 pm
Lunch – 12:30 – 1:30 (bring a lunch unless going with your parents)
Session II – 1:30 – 4:00 pm
Email nick@purlerwrestling.com if you plan to attend so we can have an idea. Thank you!
REGISTRATION FORM
Fill out and submit @ clinic with $45 fee.
Name______________________________________________ ____________________
Age______ Weight______ DOB____________
Address________________________________ _______________ ______ ________
Street address City State Zip
Home Phone _____________________ Emergency Phone _______________________
e-mail address___________________________________________ ________________
Medical insurance company___________________________ Policy#___________________
Waiver My son has been examined by a physician in the last year and is in good health. I hereby authorize the Evolution staff and Purler Wrestling Inc. to act for me, according to its best judgment in any medical emergency, and I hereby waive and release Purler Wrestling, Inc. from any liability for injuries or illness incurred by my son while attending camp. All information I have provided on this application is true and correct.
Signature______________________________________ Date_______________
Focus – Secondary attacks…ways of scoring without shooting…great session for those who struggle with leg attacks.
Coach – Tony Pescaglia (Purler Wrestling Academy trainer)
Cost - $45 (made payable to PWA)
Where - Hickman High School (Columbia, MO)
Times – register @ 9:30 – 9:45 (please have this form filled out and payment attached upon arrival)
Sessions -
Session I – 10:00 – 12:30 pm
Lunch – 12:30 – 1:30 (bring a lunch unless going with your parents)
Session II – 1:30 – 4:00 pm
Email nick@purlerwrestling.com if you plan to attend so we can have an idea. Thank you!
REGISTRATION FORM
Fill out and submit @ clinic with $45 fee.
Name______________________________________________ ____________________
Age______ Weight______ DOB____________
Address________________________________ _______________ ______ ________
Street address City State Zip
Home Phone _____________________ Emergency Phone _______________________
e-mail address___________________________________________ ________________
Medical insurance company___________________________ Policy#___________________
Waiver My son has been examined by a physician in the last year and is in good health. I hereby authorize the Evolution staff and Purler Wrestling Inc. to act for me, according to its best judgment in any medical emergency, and I hereby waive and release Purler Wrestling, Inc. from any liability for injuries or illness incurred by my son while attending camp. All information I have provided on this application is true and correct.
Signature______________________________________ Date_______________