Text Box: Registration Form Wrestler’s Name__________________________ Address_______________________ City__________________________ State/ZIP______________________ Phone________________________ E-mail________________________ Age______ Weight_______ Grade (Fall 2007)_______________ Insurance Co/Policy #____________________________ T-shirt Size__________________ I hereby consent to the participation of my child in the MSU Moorhead Dragon Wrestling Camp. Parent/ Guardian________________ _____________________________ Date_______________________ Please enclose $40 registration fee payable to MSUM Wrestling with this form to: MSUM Wrestling Nemzek Hall 1104 7th Ave. S Moorhead, MN 56560 Text Box: The camp is designed to give quality instruction at an affordable price. Age/skill groups will be separated to meet the needs of all wrestlers. There will be an excellent camper/instructor ratio. At the end of each session there will be a designated time for the campers to ask questions on any wrestling topic (strength, nutrition, etc.). This year will also offer some time to cool down in the newly revamped MSUM swimming pool at the end of each session. MSU Moorhead WRESTLING Alex Nemzek Hall 1104 7th St. S Moorhead, MN 56563 Phone: 218-477-2309 Fax: 218-477-2324 Email: spiess@mnstate.edu msumdragonwrestling.com Text Box: MSU Moorhead 2007 Dragon Wrestling Camp June 5, 6, & 7 Grades K-8 Cost $40 per Wrestler Checks payable to MSUM Wrestling Mail $ by June 1: MSUM Wrestling Nemzek Hall 1104 7th Ave S Moorhead, MN 56560 Final Camp Registration/Check-in: June 5, 2007 — 12:30-1:00 pm Nemzek Hall Daily Sessions: Grades K-4: 1:00-3:00 pm Grades 5-8: 1:00-4:00 pm