11teamform

’11 Minutemen Revolution Team Pre-registration Form If you pay for a team (10 or more) by February 7th the fee is only $15/Wrestler LOCATION: Peoria Heights High School, 508 E. Glen, Peoria Heights, IL 61616 LIMITED TO FIRST 300 ENTRIES!! Trophies for 1st. Medals 2nd- 4th Weigh Ins: Sun, Feb 20th, 6:30-8a.m. Blocked weight classes. Wrestling Begins: 9:00 a.m. 4-man Round Robin (where possible) Ages: 6&U, 7&8, 9&10, 11&12, 13&14 More Info: Paul Wilson 309-681-7180 Mail to: Peoria Heights Minutemen, c/o Paul Wilson, 918 e. Wilson, Peoria Heights, IL, 61616 COACHES: Use this form to pre-register your team before Feb 7th, with payment to get the pre-registration fee. We still need one individual form per wrestler before the tournament, as we must have the signed parent waiver prior to competition. The $15/wrestler price is only good prior to Feb 7th. After Feb 7th, you must pay the $18/wrestler fee. A check for a minimum of $150 is required to pre-register and qualify for the $15 fee. Checks payable to: PH Minutemen Team Registration Form Club Name: _________________________________ Contact Name: _______________________________ Phone: __________________ Email address:______________________________ Last Name First Name Age IKWF Card #