Parowan High School
             
RAM WRESTLING CAMP 2019
May 28th, 29th and 30th at
Parowan High School
**Registration Deadline is May 28th, 2019
Please complete all information below

Registration Fee per wrestler:   $55.00   Select:   Item Subtotal:  
$0.00
Total:
$0.00
Participant NameLastname,Firstname
Parent or Guardian's Name
Emergency Phone Number
Parent Email
Team/ School
Age (2019-2020)
Grade (2019-2020)
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 2019 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:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.50% processing fee for AMEX cards)
                    (+1.5% processing fee 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:
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