FULLERTON WRESTLING CAMP
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Arnold Alpert
Lyndon Campbell
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Fullerton Wrestling Camp
Wait List
July 27th - 31st, 2024
Submit Registration Information to be put on the Waiting List.
You will be called immediately if a spot becomes available.
Full Payment will be due upon acceptance into camp.
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Indicates required field
Camper's Name
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First
Last
Gender
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Male
Female
Street Address
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City & State
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Primary Phone
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Secondary Phone
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Email (to send confirmation)
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Select One
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Commuter Camper
Overnight Camper
Shuttle - $50 R/T transportation fee
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No, I do not need a shuttle
Yes, from Ontario Airport
Yes, from Santa Ana Airport
School
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Coach
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DOB - Month
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Jan
Feb
Mar
Apr
May
Jun
July
Aug
Sep
Oct
Nov
Dec
Campers must be at least 10 years of age.
DOB - Year
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2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2024-25 Grade Level
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Weight
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T-Shirt Size
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Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Camper's Health Insurance Carrier
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Insurance Id Number (if applicable)
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WAIVER and RELEASE AGREEMENT and ASSUMPTION OF RISK FOR PARTICIPATION IN WRESTLING CAMP
By my signature below, I hereby give permission for my son/daughter to participate in the above described activity. I understand that the Dan Lewis Fullerton Wrestling Camp, Inc. (hereafter “Wrestling Camp”) is a voluntary activity. I understand that there are risks, both known and unknown, anticipated and unanticipated, modest or severe, involved with any activity, regardless of the nature of the activity. I am aware that neck, shoulder, elbow and knee injuries may occur to participants in a wrestling camp due to wrestling drills that require throws and tackling techniques.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily agree to assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Wrestling Camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I further acknowledge that the Wrestling Camp does not provide medical coverage for participants in this activity.
For and in consideration of permitting the above named child to participate in the activity described above, the undersigned hereby voluntarily releases, discharges, waives and relinquishes any and all actions or causes of actions to sue for personal injury, bodily injury, property damage or wrongful death occurring to his/her child/ward or him/herself arising in any way whatsoever as a result of engaging in said activity or any activities incidental thereto wherever or however the same may occur and for whatever period said activities may continue. The undersigned does for him/herself , his/her heirs, executors, administrators and assigns hereby release, waive, discharge and relinquish any action or causes of action, aforesaid, which may hereafter arise for him/herself and for his/her estate, and agrees that under no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute, present any claim to file a lawsuit for personal injury, bodily injury, property damage or wrongful death against the Wrestling Camp, Hope International University, its officers, agents, or employees, for and of said causes of action, whether the same shall arise by the negligence of any said persons, or otherwise. The foregoing waiver does not apply in the event of willful misconduct of the Wrestling Camp or Hope International University.
The undersigned parent/guardian hereby acknowledges that he/she knowingly and voluntarily assumes all risks of bodily injury to his/her child/ward or him/herself as stated, and expressly acknowledges their intention, by executing this instrument, to exempt and relieve the Wrestling Camp, Hope International University, its officers, agents, or employees, from any liability for personal injury, bodily injury, property damage or wrongful death that may arise out of or in any way be connected with the above-mentioned activity. I have read and understand the foregoing and have voluntarily signed this agreement. I am aware of the potential risks involved in this wrestling activity and I am fully aware of the legal consequences of signing this instrument.
Please type your full name (parent/legal guardian) to confirm that you have read and understood the Hold Harmless Agreement.
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If the Submit button below does not work please call
1-800-643-7842.
Submit
Home
Make Final Payment
Camp Info
FWC Waitlist 2024
Staff 2024
Contact Us
Arnold Alpert
Lyndon Campbell
Photo Gallery