Wrestler’s name: __________________________________________________________ Age:________________ Address: ______________________________________________City: ________________ Zip: _______________ Email: ____________________________________ School: ___________________________________________Grade entering in the fall of 2015: _______________ Parents’ Name: ____________________________________________ Daytime phone #: _____________________ In case of an emergency, if parents listed above cannot be contacted please call: Name: ____________________________________________ Daytime phone #: ____________________________ Medical information which the camp should know: _______________________________________________________________________________________ ______ Designate the appropriate camp(s) with a check: Memphis Camp (Houston HS) June 8, 9, 10 Nashville Camp (MBA) June 15, 16, 17 Mail this form with Check ($125 per wrestler for pre-registration. $140 per wrestler for day-of-registration) Make checks payable to: SCWC 136 Ridgeside Road T-Shirt Size: XS S M L XL 2XL 3XL Chattanooga, TN 37411 please circle shirt size Agreement, Understanding and Release (Must be signed by Parent or Guardian before wrestler can participate) In consideration of this application by SOUTHERN CHAMPIONS WRESTLING CAMP, undersigned, as parent or guardian, understands, agrees, and acknowledges as follows: 1. Neither SOUTHERN CHAMPIONS WRESTLING CAMP nor the host schools: Houston High School or Montgomery Bell Academy provide insurance coverage for enrolled wrestlers against expenses of accident, injury, or illness suffered while enrolled in camp; enrollment and participation is at the sole risk of the enrolled wrestler and his parent or guardian. 2. In any event involving the undersigned's child and requiring emergency medical treatment or hospital admission, under such circumstances as not to allow timely contact between camp officials and undersigned, this will authorize camp officials to take such action as they deem necessary in the medical treatment of the undersigned's child 3. This will further serve as full release and discharge for the Camp and its officials from any and all liability from loss, damage, or injury suffered by the child or undersigned arising out of, or loss while child or undersign is enrolled; undersigned will indemnify the Camp and its directors and hold them harmless against claims or suits made or brought by anyone on account of such injury, illness or loss. Date:_______________________Parent/Guardian________________________________________________________ _______ 136 Ridgeside Road Chattanooga 37411 2015 The Camp for Champions And those who intend to be Champions For the Middle School and High School Wrestler Camp 1 June 8, 9 & 10 Houston High School Camp 2 June 15, 16 & 17 Montgomery Bell Academy Camp times 9 AM – 4 PM In partnership with Top Ten Reasons to Wrestling With Southern Champions Wrestling Camp LEAD INSTRUCTORS CAMP DIRECTORS Luther Killian & Frank Simpson With over 70 years of coaching experience between them, these two coaches have created an outstanding series of camps in Tennessee. The camps attract wrestlers who want to learn the latest from the best, work on their skills in the off-season, and have a great time in one of the world’s best sports: WRESTLING! * An Intense, three day camp for the serious wrestler. * Quality instruction covering mat work and takedowns involving the latest and best technique and strategy. * Five coaches are members of at least one Wrestling Hall of Fame (HOF). * Dual Meet competition each day. * More than 50 schools represented last year. * $125 per wrestler for pre-registration, ($140 per wrestler for day-of-registration). * Camp cost includes instruction, coaching, lunch each day, and a camp T-shirt. * Full teams, partial teams, and individuals are welcome. * A one-time weigh-in will occur on the first day of each camp from 8:30 to 9 AM. * Enrollment is limited to wrestlers entering the 6 th through 12th grades in the fall of 2015. TYPICAL DAILY SCHEDULE Schedule may vary 9:00 AM – 9:15 AM……..……………...…......Warm-Up 9:15 AM – 10:15 AM……..…….....................Instruction 10:20 AM – 11:20 AM……………....…….....Instruction 11:25 AM – 12:30 PM………………..………Dual Meet * Concessions during breaks will provide snacks and drinks at a nominal fee. * For additional information, contact: Memphis Camp at Houston High School: Walt Holmes (901-382-1839) *Nashville Camp at Montgomery Bell Academy: Frank Simpson (615-298-5514 ext.238) 12:30 PM – 1:15 PM………………..……………..Lunch 1:15 PM – 1:40 PM……………….……...………Games 1:45 PM – 1:55 PM………………...….....……Warm-Up 1:55 PM – 2:55 PM………………...…..…..…Instruction 3:00 PM – 4:00 PM……………………......…Dual Meet *Southern Champions Wrestling Camp: Luther Killian (423-618-6625 or [email protected]) 1. Experience: The directors and lead instructors have an average of over 25 years coaching experience. They know what works and they know how to coach what works 2. Tradition: Now in its 22nd year, SCWC is one of the oldest wrestling camps in Tennessee. 3. Instruction: You will receive some of the finest technique and strategies for winning. Whether it is an improvement on a traditional move or cutting-edge new moves, you will get the best from the best. 4. Attention: With a superb wrestler-tocoach ratio, each participant can work directly with the instructors for maximum gains and benefits 5. Improvement: As each wrestler attends camp to get better, SCWC works hard to get better too. Listening to coaches’ and wrestlers’ suggestions, we are constantly improving our camps. 6. Dedication: We go beyond summer camp dates. The coaches want every wrestler to succeed and may continue to be a resource for any camper after the camp is over. 7. Competition: World Cup Dual Meets. Honor for the Motherland. You’ve got to experience it to understand it. 8. Value: No camp can compare in price for the best instruction, spirited dual meets, included lunches, and a camp T-shirt. 9. A Free Wrestling Mat: One wrestler at each camp will receive a free home-size wrestling mat complements of Dollamur Sports Surfaces. 10. Personal Growth: Attending SCWC, you will become a more knowledgeable wrestler, will gain valuable mat experience, and will work with motivating coaches. David James-MC- (Univ. of Central Oklahoma) Coached 12 National Champion Teams and 45 Individual National Champions. Seven time winner of National Coach of the Year. Walt Holmes-MC&NC- (Houston HS) Coached state and national Champions. An excellent clinician, Member of HOF Patrick Simpson -MC&NC- (MBA) 4 X state finalist, 3X state champion, West Point 2006, 3X EIWA Placer and NCAA Qualifier. A member of the USA All-Army Team and 9th place finisher in World Military Championships Brian Dunning- NC-(Glencliff HS) Clinician in 9 states, HS All-American, Member of HOF MC – Memphis Camp / NC – Nashville Camp ADDITIONAL INSTRUCTORS Tommy Badon-NC (Clarksville High), Jonathan Simpson-MC (Arlington HS), Tony Bradley-MC (HOF) (Germantown), Tom Herring-NC (McCallie), John Michael Simpson-MC (CBHS), Larrick JohnsonMC (Brighton) Not all staff members will be at each camp but additional coaches may join us.
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