LNBW All-Girls Wrestling Camp Open to Girls Grade 8 to 12 November 1 &2, 2014 Riverview, High School Moncton, New Brunswick Starts: 1:00pm Nov. 1 – Ends: 3:00pm Nov .2 For more information: www.luttenbwrestling.com Registration Form Name: Address: Province: Phone: Postcode: ( ) Gender: Male / Female Email: Date of Birth: Name of Club: Name of Coach: Please mark appropriately: LNBW Member LNBW Non-Member LNBW Female Wrestling Camp $20.00 LNBW Female Wrestling Camp $30.00 All Athletes MUST be members of their Provincial Wrestling Organization before registering. Please Note: Clubs will be responsible in providing supervision and meals for their athletes for the duration of the camp. Authorization form: I _______________________________________ (parent or guardian), release Lutte New Brunswick Wrestling and the coaching staff conducting the LNBW All-Girl Wrestling Camp, of all responsibilities in case of an accident involving my daughter. I also give my permission to administer First Aid and to transport __________________ ____ to the hospital to receive proper care if necessary. Signature of parent or guardian: Date: Make cheque payable to: Lutte New Brunswick Wrestling Registration is available at the event. Lutte New Brunswick Wrestling 2 Peter Kelly Drive Fredericton, New Brunswick E3B 5A3 Guest Clinician Krista Betts  2013 Canada Summer Games Women’s Coach  2013 Sport NB Female Coach of the Year  2013 NBIAA Wrestling Coach of the Year  Former Canadian National Team Member  10X Canadian National Championship Medalist  2007-2008 UNB Female Rookie of the Years  2008 CIS Bronze Medalist  2005 Canada Summer Games Gold Medalist