Apex Wrestling Camp
Apex Fall Session: Sept 11 - Oct 25, 2017 - $65.00



Registration is a two step process. Fill out the registration form below. After you hit submit, you will be forwarded to another page to complete payment.
Wrestler Information
Athlete First Name
Athlete Last Name
Street
City St Zip
School
Email Address
Phone Number
Alternate Number
D.O.B. / / Weight
Yrs Experience  


Allergies/Medications

Insurance Company
Contract Group No.
NYWay Card:

Payment Information
PayPal Account
NOTE: This information will identify payment for this registration. Please type the PayPal account holder. If you do not have a free PayPal account, then enter the name on the credit/debit card of the person that is paying. If paying by check, enter PAYING BY CHECK in leu of the PayPall account info.

Other Comments
Neither Apex Wrestling nor the staff of the Apex Wrestling Camp assumes responsibility for accidents or medical expenses incurred as a result of participation. All athletes must assume responsibility for any medical expenses incurred. I have adequate medical coverage and insurance and give my son/daughter permission to attend the Apex Wrestling Camp and I agree to indemnify Apex Wrestling and its employees for any claim which may hereafter be presented by my child as a result of any such injuries.

Photo Releases: I give permission for APEX to use any photographs, digital images, videotapes, DVDs, film, CDs or audio recordings. These items may be used for any reasonable purposes, including but not limited to, Promotional, Fundraising, Advertising, and/or Educational purposes, and need not include the child’s name or any information about him/her. I waive the right to inspect and/or approve the appearance or use of the above-referenced items.

Parent or Guardian

Apex Club | Youth Camp | Training Camp | Online Registration | Contact | Photos | Files & Forms | Home