TWISTER WRESTLING CAMP
June 26-27 2015
Adam Keiswetter, Columbus High School Head Wrestling Coach, and 3X NCAA All-American will hold a camp for students entering K-12 grades at Shawnee Heights Middle School in Tecumseh, KS. 4335 SE Shawnee Heights Rd Tecumseh, KS 66542. The Wrestling room is downstairs from the gym. Camp fee is $40. The camp will be June 26-27. Fridays session will be 6:30-8:30pm. Saturdays sessions will be 10:00am-12:00pm and 2:00-4:00pm
Name____________________________________________Grade_______
Cell Phone_____________________Work Phone_____________________
Email address__________________________________________________
Club_____________________________
To register, return this form and the camp fee to:
Kevin Cathcart
1814 SE 44th Ter
Topeka KS 66609
Make checks payable to: Twister Wrestling
If you have any questions email: kdcathca@ksu.edu This wrestling camp is a fundraiser for the Thunderbird Wrestling club.
RELEASE FORM:
I give my permission for ______________________________to participate in this activity. I acknowledge that participation in this activity involves some risk of injury or death, and I assume these risks. I further acknowledge that the participant is physically capable of performing in this activity. I release and hold harmless the USD 450 School District, Thunderbird Wrestling Club, and its personnel from any liability for any injury or death arising from participation in this activity.
Signature of Parent/Guardian______________________________________Date________
