First Annual Payton Parrotte Pin Suicide Open Wrestling Tournament **All proceeds benefit the Payton Parrotte Scholarship Fund** Date:

Saturday, June 17, 2017

Site:

Rockford Lutheran High School – Contacts: Dani Parrotte & Justice Parrotte 3411 N. Alpine Road Rockford, IL 61114 Phone: 815-871-2419 Fax: 815-316-2808 Email: [email protected] th

Entry Fee: $20 if paid before June 10 ; $25 on-site - Checks payable to Rockford Lutheran – Pin Suicide **Entries are limited to the first 300 wrestlers** Mail all entries to The Parrotte’s 4417 Saint Annes Way – Rockford, IL 61114 ATTN: Pin Suicide Schedule:

6:30–8:00AM Weigh-Ins 9:00 AM Opening Ceremonies 9:05 AM Wrestling Begins

Admission: Adults $5.00

Students $3.00

Age 5 and under is free

Concessions will be available all day SIX DIVISIONS nd I 2 grade and under rd th th II 3 , 4 , & 5 grades th th th III 6 , 7 , & 8 grades th th IV 9 & 10 grades th th V 11 & 12 grades WEIGHT CLASSES All weight classes will be determined after weigh-in. We will wrestle four-man brackets in all divisions. Awards: There will be individual medals for first through fourth place. ------------------------------------------------------------------------------------

EACH WRESTLER MUST PROVIDE HIS OWN INSURANCE AND SIGN THE WAIVER WRESTLER NAME:

AGE:________ GRADE:

PARENT NAME:

PHONE:

US WRESTLING CARD #: nd

( ) 2 grade & under rd th th ( ) 3 , 4 , & 5 grades th th th ( ) 6 , 7 , & 8 grades

th

( ) 9th & 10 grades th ( ) 11th & 12 grades

As parent/guardian of ______________________________, we understand that neither Rockford Lutheran High School, the wrestling coaches, nor anyone connected with the wrestling tournament assumes any responsibility for accidents or for medical or any other expenses incurred as a result of participating in this wrestling tournament.

Parent/Guardian Signature

Date