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#216944 03/12/13 12:57 PM
Joined: Jan 2009
Posts: 201
J
Member
Member
J Offline
Joined: Jan 2009
Posts: 201
Date Starts: April 8
Times: Monday, Tuesday, and Thursday
6-7 6th grade & under
6-8 7th-12th
Location: Augusta Middle School Wrestling Room
1001 State St Augusta, KS

Cost: Free (must purchase a USA wrestling Card)
$12 for a T-shirt

Contact:
Jason Storm 316-737-9215
jdstorm13@gmail.com


Jason Storm
Head Women's Coach Labette County High School
Joined: Jan 2009
Posts: 201
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Member
Member
J Offline
Joined: Jan 2009
Posts: 201
I would like to order shirts this week. If you are planning on working out with us please get ahold of me with a shirt size. You don't have to pay until you get your shirt.

Below is the form I would like to have filled out before first practice. I will have some available at the first practice also. If you wish to fill it out ahead of time just copy into word and print.

Thank you

Coach Storm

Augusta Freestyle and Greco

Please Print and Return


Wrestler Information

Full Name: ____________________________________________________

Address: _______________________________________________________

City: ___________________________ State: ______
Zip: ________________

Cell phone: ___________________________________________

Email: _______________________________________

USA Card #:___________________________________________

Shirt Size: _________ (Attach $12)


Emergency Contact Information

Emergency Contact: ______________________________________________

Emergency Phone: ________________________________________________



_____ I consent that my son/daughter to participate in Freestyle/ Greco wrestling


____ I consent that pictures/ video might be taken of my son/daughter during Freestyle/Greco Tournaments




Parent Signature: ____________________________________________________

Wrestler’s Signature: ________________________________________________


Jason Storm
Head Women's Coach Labette County High School
Joined: Jan 2009
Posts: 201
J
Member
Member
J Offline
Joined: Jan 2009
Posts: 201
Starts next Monday April 8


Jason Storm
Head Women's Coach Labette County High School
Joined: Jan 2009
Posts: 201
J
Member
Member
J Offline
Joined: Jan 2009
Posts: 201
Tonight @6pm
Augusta Middle School
1001 State St

Enter through SW doors (where you enter for satelite weighins)

Questions contact
Jason Storm 316-737-9215


Jason Storm
Head Women's Coach Labette County High School

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