1 berwick youth wrestling

Berwick youth wrestling 5-6 MAN ROUND ROBIN TOURNAMENT
DATE: Sunday jan 25th. Check in 7-8am. Wrestling starts 8:30 sharp! Done close to 2.
LOCATION: Columbia Montour Vo-Tech High School, 5050 Sweppenheiser Drive, Bloomsburg, PA 17815
ENTRY FEE:$18 if received by 1/18/2015. $20 after. NO ENTRIES ACCEPTED AFTER 5PM 1/23/2015
Make checks payable to: Berwick YMCA.
Mail to: Berwick Youth Wrestling, c/o Nancy Hixson
706 E. 16th St., Berwick, PA 18603
Portion of Proceeds to be donated to Thomas Lynchs family this is the Delaware Valley Wrestler who lost his life
recently. Please help us support them in their time of need. Thank you in advance for your support.
Unable to attend please consider donation to his fund at http://www.gofundme.com/j2phno
RULES: Age as of 1/25/2015. Proof of age/wt. if challenged. Copy of birth certificate and within 2 lbs.
Modified PIAA rules. Bout length 1-1-1. Jr. High bouts 130-1-1. Overtime 1-30-30. Tie breaker criteria: 1.
Head to head; 2. Most falls; 3. Point differential. At least 6 mats will be used.
WEIGHT: Honor System. Each Bracket will be made up of 5-6 wrestlers closest in weight and experience.
DIVISIONS: Cadet 6&U - Bantam 7&8 - Midget 9&10 - Junior 11&12 (No Jr. High experience) = Junior high
(8th grade & under)
Each wrestler may enter a second division but not below their regular age group if a second registration form is
sent in
(example a cadet can also enter bantam but a bantam cannot enter cadet)
Divisions may be adjusted if necessary to make more competitive brackets
AWARDS: Every wrestler receives t-shirt
1st- 3ft Tall trophy
2nd-2ft Tall trophy
3rd- 1ft Tall trophy
ONLINE REGISTRATION
(Click Here)
4th thru 6th ribbon
Food and drinks available all day!
Questions: Lee Benjamin 570-332-0758 Email: [email protected]
In consideration of this entry form being accepted, I hereby waive and release any and all rights and claims for damages I may
have against the Berwick YMCA Youth Wrestling Program, Berwick YMCA, Columbia Montour Vo-Tech, its agents, representatives,
or successors and assigns for any and all injuries suffered by me directly as a result of this tournament.
Name of Wrestler:_______________________________________ Wt.:______ Division:___________
Address:_______________________________________City:_____________State:____Zip:________
Telephone:____________________Email:________________________________________________
Tee shirt size all sizes are youth S. M. L. Xl.
Age:_____ DOB:__________ Grade:_____ School/Club______________________________________
Years Experience:____ 2014-2015 Record:_____________ Honors:____________________________
Digitally signed by Pennsylvania
Youth Wrestling
DN: cn=Pennsylvania Youth
Wrestling, o=Pennsylvani Youth
Wrestling, ou=PYW,
[email protected],
c=US
Date: 2014.12.28 07:51:45 -05'00'
Ability 1 2 3 4 5 Scale:1-Novice 2-Losing record 3-.500 record in open 4-Winning record 5- Wins most, state qualifier.
Wrestlers Signature:_____________________________________ Parents Signature:________________________________________

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