2025 Redbird Rumble Camp/Tournament Form

2025 Redbird Rumble Wrestling Camp & Tournament

Place: Max Morris Gym - 601 E. Main St. West Frankfort, IL Camp Dates: Mon. June 16th - Fri. June 20th Tournament Date: Sat. June 21st, 2025 Camp Only Fee: $30 / Camp & Tournament $50 Please See Flyer for More Info
Wrestler Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth*

MonthDayYear
Grade Level for the 2025-2026 School Year *
KINDERGARTEN AGE MUST HAVE BEEN ENROLLED IN KINDERGARTEN FOR THE 2024-2025 YEAR
Years of Wrestling Experience
Camper Shirt Size*
T-Shirt is included in Registration Fee
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Medical/Emergency Info

Please provide any pertinent medical information about your wrestler or self if entering into the tournament.
Allergy List: (if applicable)
(I.e. Peanut Butter, Wasps, Bees)
Current Medications: (if applicable)
Previous Injuries: (if applicable)
Health Insurance Provider *
Policy Number: *
Emergency Contact Name (if other than Parent/Guardian listed above)

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to Wrestler
Acknowledgement, Liability Waiver & Consent

I, the undersigned participant (or parent/legal guardian if under 18), acknowledge that wrestling is a physically demanding sport involving inherent risks of injury, including but not limited to sprains, fractures, concussions, or other serious physical harm. In consideration of being allowed to participate in the West Frankfort Redbird Wrestling Camp and/or Wrestling Tournament, I hereby voluntarily assume all risks associated with participation and agree to waive, release, and discharge any and all claims for damages, injuries, or losses against the West Frankfort Redbird Wrestling coaching staff, assistants, volunteers, organizers, camp personnel, any person or entity of District #168, and any other affiliated entities or sponsors.I further affirm that the participant is in good physical condition and able to safely participate in wrestling activities. I understand and agree that this release applies to all claims, whether known or unknown, foreseen or unforeseen, and that it is binding upon my heirs, personal representatives, and assigns. By signing this waiver, I acknowledge that I have read and fully understand its contents, and I agree to abide by all rules and instructions provided by the camp and tournament personnel.
Signature*

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Date

MonthDayYear
Date

If you do not want to pay online, you may also mail a check to

West Frankfort Junior Wrestling

Samantha Finn

5689 Bethel Rd. Benton, IL 62812

Make check payable to WF Jr. Wrestling
Products
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Camp Only Fee Includes camp fee, t-shirt & meal on Friday. $2.00 online payment convenience fee
$32.00



Camp Only Sibling Feeincludes camp fee, t-shirt & meal on Friday for a secondary wrestler in a family. $2.00 online payment convenience fee
$22.00



Tournament & Camp Fee Includes camp fee, tournament entry fee, and t-shirt & meal on Friday. $2.00 online payment convenience fee
$52.00



Tournament & Camp Sibling Fee includes camp fee, tournament entry fee, and t-shirt & meal on Friday for a sibling of a wrestler in the same family. $2.00 online payment convenience fee
$37.00



Tournament Only FeeIncludes entry into the tournament for those who did not attend the camp or are entering into the open division.
$22.00



Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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2025 Redbird Rumble Wrestling Camp & Tournament

Medical/Emergency Info

Acknowledgement, Liability Waiver & Consent