2012 Illinois Midget Championships ENTRY FORM
HIT PRINT BUTTON ON BROWSER TO PRINT FORM
BE CERTAIN TO ENTER NAME, USA WRESTLING CARD NUMBER, AND AGE FOR EACH ENTRANT.
FORM MAY BE DUPLICATED FOR ADDITIONAL ENTRIES.
PLEASE PRINT OR TYPE YOUR ENTRIES!
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Illinois Midget Championships Weight Classes for 2012
49,52,55,58,60,62,64,66,68,70,72,74,79,84,89,
95,101,108,115,122,130,138,150,165
For Team Scoring, only the top 2 placers PER weight are point scorers PER team.
IT IS YOUR RESPONSIBILITY TO CLAIM ANY CRITERIA FOR SEEDING PURPOSES.
must make weight entered or you will be scratched
ABSOLUTELY NO REFUNDS FOR ANY REASON!
UNLESS YOU PLACE AT NOVICE STATE!
no weight changes after March 5
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EXAMPLE |
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Wrestler's Name |
USAW Card Number |
BIRTH DATE |
WEIGHT CLASS |
TEAM | RECORD | SEEDING CRITERIA INCLUDE POINTS!!!!!! | |
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John Smith |
123456 |
00/00/00 | 49 | BIG BASH | 0-0 | PLACE 2ND AT 07 STATE | |
| DID YOU MARK YOUR TEAM AND CORRECT WEIGHT CLASS ENTERED?? | |||||||
$40.00 Payment by check FEB 28, 2012
$75.00 after FEB,29,2011 postmark
ANY RETURNED CHECKS WILL BE ASSESSED ADDITIONAL $50.00 BANK FEE.
NO ENTRIES ACCEPTED AFTER MARCH 9....
LIMITED TO FIRST 825 MIDGETS
info hotline
BIGBASHWRESTLING@YAHOO.COM
mail my registration and receipt of payment to:
Make Check OR Money Order Payable To
Palmer Arena
AND SEND TO
Palmer Arena
7855 Marquette Drive South
Tinley Park, Il. 60477
*By paying my entry fee and acceptance thereof, I hereby release all
participating groups, and other persons connected with this event,
from any and all liability for my injury or damages whatsoever arising
from any participation in the event. Tournament Director reserves the
right to refuse any participant or parent.
ACTUAL WRESTLING VENUE
PALMER ARENA
DANVILLE ,ILLINOIS