University of Dubuque Clinic (Oct 13th)

[CollegeCoach]

University of Dubuque

Youth Wrestling Clinic

WHEN: Saturday, October 13, 2007 UD Wrestling Room – Stoltz Center

TIME: 2:00-4:00pm Ages 12-18 years Registration: 1:00pm
4:00-5:30pm Ages 2 -11 years Registration: 3:00pm


CLINICIANS: University of Dubuque Coaching Staff
Jon McGovern Head Coach
Brian Keck Assistant Coach
Robert Larson Graduate Assistant 2007 UD NCAA qualifier
Jared Creason Assistant Coach 2007 NCAA All-American


REGISTRATION: $35.00, includes clinic and gear bag (non refundable)

Pre-registration can be by fax (563)589-3425 or email Karla Weber @ kweber@dbq.edu by Oct 11, 2007

Please complete the parent/participant/guardian release
For further information please contact: Coach McGovern 563 589 3685

Please read, complete, and return the registration fee, application, and release form to:
Karla Weber Athletic Administrative Assistant
University of Dubuque
2000 University Ave
Dubuque, IA 52001

University of Dubuque Spartan Youth Clinic October 13, 2007

PARTICIPANTS NAME_____________________________________________________PHONE__________________
L Name F Name

ADDRESS_____________________________________CITY_____________________STATE______ _ZIP__________

DATE OF BIRTH__________AGE__________WEIGHT___________RECORD_____________________________ __

EMERGENCY CONTACT: __________________________________ EMERGENCY PHONE #: __________________

ANY CONCERNS WHICH THE “SPARTAN YOUTH CLINIC” DIRECTOR SHOULD BE MADE OF AWARE? ________________________________________________________________