11teamform .pdf

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’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


IKWF Card #

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