REGISTRATION FORM: Grades 3 - 7 Youth Wrestling Camp
WHEN: September 30th, October 2nd, and October 6th (Mon, Wed, Sun.)
TIME: 6:00 - 7:30 PM
LOCATION: 3102 N. 155th St., Basehor, KS 66007 (BLHS Practice Room)
CONTACT PHONE:  Head BLHS Coach Jason Puderbaugh (785) 845-6421
CONTACT EMAIL: jpuderbaugh@usd458.org
PAYMENT: Simply pay cash at the door first night of camp.
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Email *
Parent Name: *
Parent Phone: *
Wrestler Name: *
Wrestler Approx. Weight? *
Wrestler Age/Grade Level? *
What school does your child attend? *
Wrestler T-Shirt Size (Included with camp registration) *
OPTIONAL - Parent T-Shirt 1 Size (additional $10.00)
OPTIONAL - Parent T-Shirt 2 Size (additional $10.00)
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