Youth Wrestling
Development Camp
July 7-9, 2011
Grades: K – 5th
Site: Pigeon Forge, Tennessee (Camp will be held in the Wrestling Field House.)
Pre-Registration: Must be in by June 25, 2011 Each Pre-Registered Wrestler will receive: T-Shirt , Camp Bag, and Lunch on Friday
Camp Fee: Pre-Registered: $ 100.00 Walk-ups: $ 125.00
All Wrestlers must have an active AAU Card.
Camp Schedule:
Thursday: 5-6 PM Check-in 6-8 PM Session I
Friday: 9 – 11:30 AM Session II
11:30 AM – 12:30 PM Lunch
12:30 – 2 PM Session III
Saturday: 9 – 11 AM Session IV
11 AM – Noon Fun and Games
Camp Clinicians:
Greg Foreman: Head Wrestling Coach at Pigeon Forge High School
Tim Pittman: Head Wrestling Coach at Gibbs High School
Bill Smith: Head Coach of the Eagle Talon Wrestling Club
Charlie Arrington: Assistant Wrestling Coach Pigeon Forge HS
Camp Director/ Instructor: Darrel Lauderdale: Head Wrestling Coach Univ. TN Club team; Pigeon Forge High school Wrestling Tournament Director
Further Information (Hotels, Recreational Activities):
Contact Darrel Lauderdale: phone: 865-755-7872 or email: [email protected]
REGISTRATION INFORMATION SHEET
NAME: ______________________________________________________________________
Address: ________________________________City: _______________ zip: ______________
Date of Birth: ____________________ Age:________________ Grade; ___________
Parent Phone #: _____________________ Cell/Emergency #: _________________________
USA Card # : ______________________________ T-Shirt Size: ___________________
Parents Name: ______________________________________________________________
Parents Signature: ___________________________________________________________
Make Checks payable to: Pigeon Forge Wrestling
Mailing Address: 134 Vanderview Drive Seymour, TN 37865
Date: _____________________
The ATHLETE WAIVER/RELEASE ["AGREEMENT"]
I/we hereby release and forever discharge the Amateur Athletic Union of the U.S., Inc. [AAU], USA Wrestling, the Host, Local Organizing Entity Owner, TeamTN wrestling, Sevier County Board of Education, Pigeon Forge High School, the camp clinicians, ,from ALL claims that may arise from participating in this clinic and event.
Parents /Guardian Signature:
___________________________________________________________________