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  
Questions?

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.
 
This includes:
  1. 1. 20+ hours of wrestling instruction
  2. 2. Free camp T-shirt
  3. 3. Lunch
  4. 4. Free autographs of National and Olympic Champions
 
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