When: Saturday, November 24th 2012
Where: Davenport West High School, 3505 W. Locust St. Davenport, IA 52804
Who: Open to all individuals grades K-8 (7th and 8th will wrestle on a full mat)
Registration Cost: $12 if postmarked by Saturday, November 17th 2012. 15$ after November 17th and at the door. No Call-ins or E-mails.
Make checks payable to: Future Falcons Wrestling
Admission Cost: $5 for adults, $2 for kids 14 and under
Schedule: Weigh-ins: 7:00 am 8:00 am, Wrestling begins at 9:00 am
Concession: Available all day, including breakfast
Contact: Michael Crane e-mail: cranem@davenportschools.org

All information must be complete. Please print clearly. Cut and mail this form with payment to:

Michelle Lightner 3154 N. Utah Ave Davenport, IA 52806

MAKE CHECKS PAYABLE TO: Future Falcons Wrestling

Name Parent/GuardianName .
Address City State Zip .
Home Phone EmergencyPhone .
Grade Yrs. Wrestled Weight Club .

I certify that my son or daughter is in the grade stated above and has my permission to compete in the 2012 Falcon Classic. By signing below, I accept full responsibility for his/her behavior, participation, and insurance coverage. I waive and release West High School and its representatives or members from all claims or rights to damages or injuries suffered directly in competing in or attending the 2012 Falcon Classic.
Signature (parent/guardian) Date