Little Muskies Wrestling Club Regret weighs in tons! Preview to Muscatine Wrestling Clinic Featuring Muskies Head Coach Wade McLeod OPEN TO THE PUBLIC – NO REGISTRATION FEE The purpose of this clinic is to introduce children and parents to the sport as well as the technique and culture of Muscatine’s wrestling program. All ages thru 8th grade welcome! Tuesday, October 14th, 2014 Takedown Session: 6pm-7:30pm Registration for the 2014-2015 Season will be held at West Middle School Front Entryway *Signs will be posted* Tuesday October 14th from 5:00pm to 7:00pm & Thursday October 16th from 5:00pm to 7:00pm All ages from Pre-K to 8th grade welcome regardless of experience. Sportsmanship and respect for self and others will be stressed. Visit Us on the Web at www.muscatinewrestling.com Braves: PreK-K Practice Mondays at MHS 6-7:15pm Warriors: 1st-2nd Practice Tuesday/Thursday at MHS 6-7:30pm Chiefs: 3rd-8th Practice Tuesday/Thursday at WMS 6-7:30pm Discipline weighs in ounces… Thursday, October 16th, 2014 Mat Wrestling Session: 6pm-7:30pm West Middle School Wrestling Room 600 Kindler Avenue Please bring water bottle to rehydrate Camp Contact: Coach Wade McLeod [email protected] Name:____________________________________________________ Address:__________________________________________________ City/State:___________________________________ Zip:________ Phone:(_______) ____________________________ Grade:______ I certify that the above registrant has my permission to participate in the 2014 LMWC Clinic. I hereby attest to be responsible for his/her behavior and participation. I will not hold West Middle School, Muscatine Community School District, Little Muskies Wrestling Club, or any of their agents responsible for any injuries or accidents occurring during the clinic. Parent / Guardian (print) ____________________________________ Signature_________________________________ Date__________ LITTLE MUSKIES WRESTLING CLUB 2014-2015 REGISTRATION FORM (Please Print Clearly) One Form Per Wrestler Please Purpose / Code of Conduct 2014-2015 Name______________________________________ Grade_______________ Phone Number ____________________Age ______ Birth Date____________ Address_________________________________________________________ __________________________________________________Weight________ Previous Club or School: ________________________________________________________________ T-shirt Size Circle One: YS YM YL AS AM AL XL The Little Muskies Wrestling Club is a volunteer organization established to develop and promote the sport of wrestling in Muscatine and the surrounding area. The club provides an organization through which youth can participate in amateur wrestling and develop skills, character, teamwork, and sportsmanship through structured practice and competitive tournaments. Code of Conduct: o XXL Parent or Guardian_________________________________________________________ o Phone Number: ___________________________________________________ Parent Email Address: ______________________________________________ Emergency Contact: _______________________________________________ Emergency Contact Phone Number: __________________________________ o Medical Conditions: ________________________________________________ 1] Registration fees: $70.00 per member (Circle One) $ 70.00 2] OR $30.00 per additional household member (Circle One) $ 30.00 3] OR $30.00 per junior high wrestler member (Circle One) $ 30.00 Grand Total $ _________ - Make checks payable to Little Muskies Wrestling Club (LMWC) I certify that the above registrant has my permission to participate in wrestling with the Little Muskies Wrestling Club during the season 2014-2015. I hereby am responsible for his/her behavior and for his/her participation. I will not hold Muscatine Community School District or Little Muskies Wrestling Club or any of their agents responsible or liable for any injuries or accidents occurring during the 2014-2015 season and I will be responsible for all damages to the school or private property caused by the above entrant. o ALL WRESTLERS AND PARENTS must conduct themselves in a respectable manner at all times. Each individual must exhibit good citizenship and high moral conduct towards all athletes, other parents, coaches, spectators, and officials. The LITTLE MUSKIE WRESTLING CLUB WILL NOT TOLERATE any form of physical or verbal abuse directed toward any athlete, coach, official, member or staff member of tournament in which we participate, or in our own practices and tournaments. This will apply to all coaches, parents and athletes. REMOVAL from the premise and/or expulsion from the club will be the consequence for any such conduct. Keeping in mind that wrestling is a contact sport; use your own good judgment with any illness or injury. Skin lesions (i.e. ringworm) needs to be brought to the attention of the coach(es). Anyone who contracts or is suspected of having the disease must see a physician and will not be allowed to return to practice or tournament participation until written release is obtained from the physician. All parents or guardians and athletes must abide by these rules and must sign a code of conduct form. ATHLETE’S SIGNATURE______________________________DATE_____________ PARENT’S SIGNATURE______________________________DATE_____________ Parent/Guardian Signature________________________________________ You may mail this form in with your payment to Little Muskies Wrestling Club c/o Jennifer Ribbink 106 Dillaway St. Muscatine IA 52761. Phone: 563-260-3779 Questions please contact Jennifer @ [email protected] LITTLE MUSKIES WRESTLING PARENT’S SIGNATURE______________________________DATE_____________
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