THE MARTIN'S GRANBY SCHOOL WRESTLING CLINIC REGISTRATION FORM

NOTE: To register, please fill out this form and click submit at the bottom.

NAME:
ADDRESS:
CITY: STATE: ZIP:
HOME PHONE: EMAIL:

PARENT/GUARDIAN AUTHORIZATION: My son has permission to attend the Granby School of Wrestling, Inc. I have no knowledge of any physical impairment that would affect or be affected by my son�s participation in the Granby School of Wrestling, Inc. I acknowledge that at camp my son will participate in a sport that will involve physical contact of the body with other persons or objects including the mat where he may incur a risk of injury. I specifically, fully and forever, waive and release the Granby School of Wrestling, Inc., its owners and staff from liability and claims for damages my son may sustain at camp and in his travel to and from said camp. In the event of an emergency in which my son requires medical care, I authorize the staff of the Granby School of Wrestling, Inc. to obtain, for him, necessary medical treatment.
Agree to terms:


     SELECT A CLINIC:

    GEORGIA MILITARY COLLEGE AND PREP SCHOOL • May 30th - June 1st, 2012 • $220
    GEORGIA MILITARY COLLEGE AND PREP SCHOOL • May 30th - June 1st, 2012 • $100 DEPOSIT ONLY ($120 Due @ Site)
    VESTAVIA HILLS WRESTLING CLUB CLINIC • June 8-10, 2012 • $220
    VESTAVIA HILLS WRESTLING CLUB CLINIC • June 8-10, 2012 • $100 DEPOSIT ONLY ($120 Due @ Site)
    DINUBA HIGH SCHOOL • June 24-26, 2012 • $220
    DINUBA HIGH SCHOOL • June 24-26, 2012 • $100 DEPOSIT ONLY ($120 Due @ Site)

This box does nothing.

Camp Fee:
 $
Online Processing Fee:
 $
Group Discount:
 $-
*Total:
 $
*This is the amount charged.
   -PAYMENT INFO-
   Payment Via Secure Paypal
                       

For more information, please contact The Martin's Granby School of Wrestling, P.O. Box 15265, Chesapeake, VA 23328, or call 888-514-1302, or send email to steve@granbyschool.com. Visit www.granbyschool.com for more information about The Martin's Granby School.