Jack Davis Clarion Way Wrestling Camp A Day Camp for the Wrestler "wishing to improve" District IX
Clinicians Kurt Angle Olympic Champion € World Champion Two Time NCAA Champioin Sheldon Thomas Three-time All-American NCAA Champion Ricky Bonomo Three-time NCAA Champion Rocky Bonomo Three-time All-American Coach at Lock Haven Jack Davis Coach at Clarion for 22 years EWL, PSAC Coach of the Year 2 EWL Team titles 22 Years of Camp Directing and many more!
Personalized instruction - for all ages Intense Drilling Live wrestling Motivational talks
Schedule 9:30 - 10:15 Block 1 10:30 - 11:15 Block 2 11:30 - 12:15 Lunch 12:15 - 1:00 Block 3 1:00 - 1:45 Block 4 1:50 - 3:00 Organized activity * * can include soccer, baseball, live wrestling, drilling, or Block 5
Application form (print and copy as necessary)
Dates/ Locations/ Division (circle date and division at location of choice) June 15 - 19 @ Johnsonburg High School Senior High/ Junior High/ Elementary June 22 - 26 @ Redbank Valley High School Senior High/ Junior High/ Elementary Cost: Note - limit of 150 wrestlers admitted. Apply early early registration: $125.00 two in same family: $225.00 three in same family: $325.00 Coaches and Parents may attend for free. Lunch and/or T-shirts may be purchased at cost.
Please enroll me in the Clarion Way Wrestling Camp. It is understood that the CWWC, the directors, the school, nor anyone connected with the school will assume any responsibility of accidents, medical, dental, or other expenses incurred as a result of accident or injury. Name ____________________________ Address ____________________________ City ____________________________ State _______________________ Zip _____________ Age ________ Weight _______ Grade Sept 98 _____________ Name of High School ___________________________________ Home Phone ________________________ Work Phone _________________________ T- Shirt Size (Adult size:) Circle one: S M L XL Signature of Parent or Guardian: ________________________________ I agree to allow my child to be treated by a licensed physician, registered nurse, or certified trainer while attending CWWC. I understand that the campers attending this camp are using the camp facilities at their own risk. I understand and agree that CWWC, the camp staff and anyone associated with the camp, are not liable and will not assume responsibility for accidents, injuries, medical or dental expenses incurred by my son during his stay at the camp. Signature of Parent or Guardian: _________________________________ Insurance Company: __________________________________________ Policy #: __________________________________________________ Please print, fill out, and sign application. Mail this form, along with a check made payable to CWWC, to:
CWWC 59 Chestnut Ridge Drive Clarion, PA 16214