Apex Wrestling Camp
Youth Wrestling and/or Football Camp: June 26-29, 2017



Registration is a two step process. Fill out the registration form below. After you hit submit, you will be forwarded to another page that you can print for your records. Print that page and then click the link at the bottom of that page to continue. This will allow you to finish the second step which is your online payment provided by PayPal.
Wrestler Information
First Name
Last 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
Insurance
Policy
   
NYWay Number
   
Allergy/Medications
   
Camp Selection
   
Waiver *Neither Apex Wrestling nor the staff of the Apex Youth Football and 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 Youth 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.

Choose One:
 

 
Payment Information
Name of
Person Paying
NOTE: This information will identify payment for this registration. Please type the Google Checkout account holder. If you do not have a free Google Checkout account, then enter the name on the credit/debit card of the person that is paying.

Other Comments
 
 

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