Date: Saturday, January 19, 2002

Time: Weigh-ins: Saturday, January 19, 2002--- 7:30-9:00 A. M. (NO ALLOWANCE)

Bout Length: 12 &U 1-1-1     JR. High 2-1-1

Entry Fee: $12.00 paid in advance (by January 12, 2002)     $15.00 at the door

Pre-registration and registration at the door (limited to 400)

Awards: First through Fourth Place will be awarded

This is a Qualifier for the Ohio Tournament of Champions held on April 27, 2002

Divisions:

6&U----40,45,50,55,60,65,HWT (Max 85)

7&8----45,50,55,60,65,70,80,90,HWT (Max120)

9&10---55,60,65,70,75,80,85,90,100,120,HWT (Max150)

11&12--60,65,70,75,80,85,90,95,100,110,120,130,150,Hwt (Max200)

13&14--75,80,85,90,95,100,105,110,122,130,138,145,155,165,185,HWT (250)

Hot foods including breakfast and snacks will be available starting at 7:30 A.M.
No food or Drink permitted in gym

__________________________________________________________________________________

Entry Form---(PLEASE PRINT OR TYPE)

Age:(as1/19/02)________      AGE GROUP:________

Name:_____________________________________________Weight Class:_________

Address_________________________City:_____________________State:_________

ZIP CODE:________    SCHOOL/CLUB:______________   RECORD 00-01 :_______

IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY, I INTEND TO BE LEGALLY BOUND HEREBY FOR MYSELF MY HEIRS AND ASSIGNS WAIVE ANY AND ALL CLAIMS TO DAMAGES WHICH I HAVE AGAINST ANY SPONSORING ORGANIZATION OR COMMITTEE INVOLVED. I FURTHER CERTIFY THAT THE DATE OF BIRTH OF THE WRESTLER AS STATED ABOVE IS TRUE AND CORRECT.

______________________________  ___________________________________________
Parent's signature                   Contestant's signature

Send entry to:

Cecilia Kyler,
R.D. #1, Box 364
Clearfield, Pa. 16830