Barrington Brawl - Off Season Wrestling Tournament April 3, 2011

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Barrington Brawl - Off Season Wrestling Tournament at Barrington High School - Sunday April 3, 2011

Barrington Brawl
Open Folkstyle Wrestling Tournament – April 3, 2011
Each wrestler must provide their own insurance. Open to the first 500 entrants
USA wrestling cards must be present at weigh-ins
Location: Barrington High School 616 Main Street, Barrington, IL 60010
Divisions: 7-8, 9-10, 11-12, 13-14, Frosh-Soph, and Junior- Senior divisions
Every effort will be made to bracket in 4 man round robin format separate wrestlers by weight and grade, but we
reserve the right to make a one division adjustment if necessary and reasonable.
T-Shirt for Champion
Weigh in 7:00 to 7:45 A.M. LATE COMERS WILL NOT WRESTLE!!! Wrestling will begin at 9:00 AM.
Entry Fee: $15 pre-registered (nonrefundable) if received on or before April 1, 2011.
$20 at the door. Limited to the first 500 entries received.
Make checks payable to: Barrington MAT Club
QUESTIONS: Scott Shealy @ 847.875.2867 or scottjshealy@comcast.net
Mail check and release to: Mike Thorn, ATTN: Barrington Mat Club, 1810 Nicholson Drive, Hoffman Estates, IL 60192
Insurance: Participants must provide own insurance, complete and sign the attached waiver.
Concessions: Concessions will be available all day during the event.
Admission: Adults $4, Children 10 & Under – Free
All wrestlers must sign in at the registration table.
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Entry Form (return with payment by April 1, 2011)
Release - The undersigned wrestler and the parents or guardian of the wrestler hereby represents to the Barrington
MAT Club as a sponsor of the Barrington Brawl that the wrestler’s health is and will be sufficient to allow the wrestler to
safely participate in the tournament. The undersigned understands and accepts that no health examination will be conducted
by the Barrington Mat Club to determine the wrestler’s fitness to participate in the tournament and that health and accident
insurance coverage of the wrestler, if any, is the sole responsibility of the undersigned. The undersigned understands and
accepts that the wrestler participates in the tournament at the wrestler’s own risk. The undersigned understands and agrees
not to make any claims or bring any lawsuit for personal injury , death, property damage, or loss which arise out of the
wrestler’s participation in the tournament against the Barrington Mat Club, it’s Agents, Barrington High School, or District
220. The terms “Barrington Mat Club” and Barrington High School” and “District 220” include the governing board of these
entities and their officers, employees, and agents.
Participant’s Name _______________________________________________________
Address ________________________________________________________________
City/Zip ________________________________________________________________
Phone __________________________________________________________________
Current Grade: ____________Age:________Wrestling Record:_____________________
USA wrestling card #__________________________________________________
Parent/Guardian Signature_________________________________ Date_____________