Fall Qualifier at Skyline High School Style - Folk Date - Powerhouse

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Fall Qualifier at Skyline High School 151 Skyline Vista Dr. Front Royal, VA 22630

Style - Folk Date: September 15th, 2012 Friday registration and weigh-ins: 6-8 PM September 14th for everyone There will be NO WEIGH-INS or REGISTRATION the day of the tournament Saturday doors open: 7:30 AM Saturday wrestling starts: 9 AM Early Registration - $25

Late Registration - $30

The best way to register is early. You must mail your registration and payment postmarked before th September 7 to register early by mail.

Any registration forms mailed after September 7 will be considered a late registration. You will also be able to register at weigh-ins the night before the tournament for $30.

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Divisions and weight classes: High School Division (Grades 7-12) +3 lb weight allowance 109, 116, 123, 129, 135, 141, 148, 155, 163, 173, 185, 198, 223, 288

Awards - Medals will be awarded to the top 3 place finishers in each weight class Super 32.... Top 4 place finishers in each weight class earn early registration to Super 32 Change of Weights: You can change weights 3 days prior to the event with no penalty. To change weights please contact the tournament director. There will be a $5 penalty fee to change weights onsite at the event.

Rules – Modified NFHS, Headgear Optional, College Out-of-Bounds, min 15 min rest Periods – 2, 1, 1 – 1, 1, 1 Overtime – 1 min neutral, 30 sec ride-out Name: __________________________________________________________________ Address_________________________________________________________________ City:

______________________________________ State: _____

Zip: ______________

Phone Number____________________E-mail____________________________________ Weight Class:

_____School/Club___________________________________

2011 Season Varsity Wrestling Record: Wrestling Honors:

__________

_________________________________________________________

(only include national, state, or state qualifier placement)

LIABILITY RELEASE I, the undersigned, individually and as a parent/guardian________________________________ a minor, ask that he/ she be admitted to participate in the above Skyline Wrestling Club sponsored event. I do hereby agree to release, discharge and hold harmless the Super 32, the Skyline Wrestling Club, and the Warren County School District, their agents and employees of and from all causes, liabilities, and damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor’s attendance at the sporting event or in the course of competition held in connection with this event. I also give permission for my child’s photograph to appear in promotional material regarding this event.

Parent/ Guardian Signature Required _________________________________________Date___________

Mail entries to: Matt Keel – 163 Park Way Front Royal, VA 22630 – 540-303-1280 Make Checks Payable to: Skyline Wrestling