Apex Wrestling Camp
Apex EliteRegistration



Step 1 of 2

Fill out the registration form below. After you hit submit, your registration will be complete.

NOTE:
If your name is not in the drop down and you are an advanced, experienced and accomplished varsity wrestler please reach out to Coach Bovenzi at APEXWRESTLING@rochester.rr.com
Wrestler Information
Last Name
First Name
Street
City St Zip
Email Address
Phone Number
Cell Number

D.O.B (mm/dd/yyyy)

Yrs. Experience Age
Grade Weight T-Shirt Size

School

Allergies/Medications

Insurance Provider
Policy Number
NYWay Card:
 
Payment Information
Name of
Person Paying
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.

Other Comments

Neither Apex Wrestling nor the staff of Apex Eliteassumes 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 Elitesessions 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.


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