Millard West Wrestling Camp MILLARD WEST WRESTLING would like to invite YOU to attend our annual summer wrestling camp held this year at Millard West HS. This camp will provide an excellent opportunity for high school, middle school, and elementary age wrestlers to practice and improve upon their skills in the sport of wrestling. The camp will include technique, conditioning, and competition throughout the three day camp. Please read through the following information and consider being a part of this awesome experience . WHEN: June 5th, 6th, 7th Time 6:00-8:00 WHERE: Millard West HIGH SCHOOL 176th and Q Wrestling room ENTRY: $40 GRADE k-8 Includes a t-shirt and instruction - (Checks payable to Millard West Wrestling) Please complete bottom portion of this flier and mail to: Scott Townsley 5710 South 176th Omaha, Ne 68135 Phone: 402-715-6029 Please have form completed and mailed before camp begins CLINICIANS: Millard West Coaching Staff and Wrestlers WHAT TO BRING: Work-out clothes (t-shirt, shorts), wrestling shoes, running shoes.

Detach and Mail to: Scott Townsley 5710 south 176th Omaha Nebraska 68135 NAME ______________________________________________________ Phone ________________________ Address ________________________________________________ zip code __________________________ School attending/ Grade (fall 2018) ________________________________________________________ Age _________ Height _____________ Weight _______________ T-Shirt: Circle Adult T-shirt Size S M L XL or Youth Size: S M L XL Consent: I hereby give permission for my son/daughter to participate in the High Amplitude Wrestling Camp and release Millard Public Schools and all its employees from any responsibility and or damages for any injury resulting from participation in the High Amplitude Wrestling camp. Millard Public Schools and this camp does not provide accident insurance for camp participants. Each camp participant should have his/her own accident insurance. Parent/Guardian Signature ________________________________________________ Date ______________

Emergency Contact Name/ number ___________________________________________________________