Warrior Wrestling Challenge - Long Island Wrestling Association

Sunday, March 29th, 2015
Averill Park High School
146 Gettle Road
Averill Park, NY 12018
(directions on back)
Weigh Ins: 7:00am- 9:00am Wrestling Starts: 10:30am
Eligibility: High School Students including seniors and selection
classified (JV/Varsity Experience) 7th and 8th graders
Weight Classes: 99, 106, 113, 120, 126, 132, 138, 145, 152, 160, 170, 182, 195, 220 and 285
Rules: High School Rules and NYS Officials used.
Format: Round Robin up to 6 wrestlers per pool.
Awards: First, Second and Third medals. Champion Tee
Entry Fee: $25 (make checks payable to Averill Park Wrestling Club)
Food and Beverages will be available at our concession
Please direct any questions to [email protected]
PRE-REGISTER
AND SAVE
$20 If registered by
Mail
Directions To Averill Park High School
From Interstate 90 take exit 8 (Defreestville Rte 43). Cross Rte 4
continue onto Rte 43 E for approximately 5 miles to the
intersection of Routes 43 & 150 (traffic light). Continue on
Route 43 East for approximately 2 more miles. Take a left onto
School Road. (There is a sign and on the right is a Sunoco gas
station). The High School is straight ahead. The entrance road
to the athletic facilities is located on the right when facing the
building.
Optional Pre-Registration: please mail Registration form and check or money order to:
Averill Park Wrestling Club
23 Hilda Court
Troy, NY 12180
*Email ______________________
(if preregistering, we will send an email confirmation that we received your entry)
OFFICIAL REGISTRATION FORM
NAME ________________________________________
Weight Class: _____________
CLUB/SCHOOL___________________________________________________________
I attest to being the parent/guardian of the above stated athlete and hereby grant permission for
them to participate in the Averill Park Warrior Wrestling Challenge. I do so understanding the risk
and I will not, in any way, hold liable the tournament officials, referees, sponsors, the Averill Park
Wrestling Association or Averill Park Central School District for any discomfort and/or injury that
he/she might receive from participating in this tournament.
Parent/Guardian Signature _______________________________________Date_____________
(if participant is under 18 years old)
I attest to being at least 18 years of age and hereby declare that if I participate in Averill Park
Warrior Wrestling Challenge, I will do so at my own risk and my own free will. I will not, in any way,
hold liable the tournament officials, referees, sponsors, the Averill Park Wrestling Association or
Averill Park Central School District for any discomfort and/or injury that I might receive from
participating in this tournament.
Wrestler Signature: ____________________________________________Date_____________
(if participant is 18 years old or older)