Parowan High School
             
RAM WRESTLING CAMP 2018
June 5th, 6th and 7th at
Parowan High School
**Registration Deadline is June 1, 2018
Please complete all information below

Registration Fee per wrestler (paid by March 31):   $50.00   Select:   Item Subtotal:  
$0.00
Registration Fee per wrestler (after March 31):   $60.00   Select:   Item Subtotal:  
$0.00
Total:
$0.00
Participant NameLastname,Firstname
Parent or Guardian's Name
Emergency Phone Number
Parent Email
Team/ School
Age (2018-2019)
Grade (2018-2019)
Current weight
Shirt Size
Disclaimer
I hereby release Parowan High School, Iron County School District, Intermountain Sports Medicine, Ram Wrestling Camp and it's coaches from responsibility for any injuries sustained by my wrestler during the 2018 Ram Wrestling Camp. In addition, I give authority to the coaches and medical staff to admit my wrestler to the local hospital for emergency care should it be required
I, the undersigned, will accept all responsibility for any claims on my wrestler should hospitalization be necessary during the dates indicated on the registration while my wrestler is registered at Ram Wrestling Camp. In addition, Parowan High School, Iron County School District, Intermountain Sports Medicine, Ram Wrestling Camp, and it's coaches will not be held responsible for any payments on such occasion.
To the best of my knowledge my wrestler is physically fit to participate in the Ram Wrestling Camp. I know of no physical impairments which would limit their participation in such program.
Payment Information
Method of Payment:
Convenience Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.5% convenience for foreign cards)
eChecks: $0.49
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
Cardholder's Name:
Billing ZIP/Postal Code:
Use Instant Payments to accept payments for your business.
SIP Program & Data © 2006-2018 Instant Payments All rights reserved.
~ Terms & Conditions ~ Privacy Policy ~ Contact Us ~
Version 2.15; API: 2.4
Get Help RSI Security Instant Payments, Payment Processing Service, Clinton, UT