KENT COUNTY PARKS AND RECREATION
WRESTLING CLINICS
Polytech High School (Wrestling Room)
Mondays, March 9 - March 30
Tuesdays April 13 - May 4
6:00 - 8:00 p.m.
Ages 12 to 18
Format: Each class will combine technique with live wrestling.
Emphasis will be placed on preparing for the upcoming wrestling season.
Head Clinician: Don Parsley (Hall of Fame wrestler at Lock Haven University, 25 years head coach at Milford High School, 2-team state championships,
8 individual state titles and Division II 2009 Coach of the Year).
Fee is $45
For more information, call the Parks and Recreation Office at 744-2495.
KCPR WRESTLING CLINICS REGISTRATION FORM (Activity Code - PHSWRC309)
Parent/Guardian Name _____________________________________________________________
Child's Name _____________________________________________ D/O/B ________________
Address __________________________________________________________________________
City _____________ State _____ Zip ________ Email ________________________________
Phone (Day) ________________________________ (Night) _______________________________
Mail or hand carry to: Kent County Parks and Recreation, 555 S. Bay Road, Dover, DE 19901
Register online at www.kentcountyrec.com
WAIVER FOR PARTICIPANT
I, HEREBY, FOR MYSELF, MY CHILD, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I OR MY CHILD MAY HAVE AGAINST KENT COUNTY PARKS AND RECREATION AND ITS REPRESENTATIVES, SUCCESSORS AND ASSIGNS FOR ANY AND ALL INJURIES SUFFERED BY MYSELF OR MY CHILD AT THE ACTIVITIES FOR WHICH I AM REQUESTING. PARENT OR LEGAL GUARDIAN MUST SIGN FOR ANY CHILD UNDER 18, ENTERING A PROGRAM.
SIGNED ______________________________________________________________________________ DATE ________________________________________________
WRESTLING CLINICS
Polytech High School (Wrestling Room)
Mondays, March 9 - March 30
Tuesdays April 13 - May 4
6:00 - 8:00 p.m.
Ages 12 to 18
Format: Each class will combine technique with live wrestling.
Emphasis will be placed on preparing for the upcoming wrestling season.
Head Clinician: Don Parsley (Hall of Fame wrestler at Lock Haven University, 25 years head coach at Milford High School, 2-team state championships,
8 individual state titles and Division II 2009 Coach of the Year).
Fee is $45
For more information, call the Parks and Recreation Office at 744-2495.
KCPR WRESTLING CLINICS REGISTRATION FORM (Activity Code - PHSWRC309)
Parent/Guardian Name _____________________________________________________________
Child's Name _____________________________________________ D/O/B ________________
Address __________________________________________________________________________
City _____________ State _____ Zip ________ Email ________________________________
Phone (Day) ________________________________ (Night) _______________________________
Mail or hand carry to: Kent County Parks and Recreation, 555 S. Bay Road, Dover, DE 19901
Register online at www.kentcountyrec.com
WAIVER FOR PARTICIPANT
I, HEREBY, FOR MYSELF, MY CHILD, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I OR MY CHILD MAY HAVE AGAINST KENT COUNTY PARKS AND RECREATION AND ITS REPRESENTATIVES, SUCCESSORS AND ASSIGNS FOR ANY AND ALL INJURIES SUFFERED BY MYSELF OR MY CHILD AT THE ACTIVITIES FOR WHICH I AM REQUESTING. PARENT OR LEGAL GUARDIAN MUST SIGN FOR ANY CHILD UNDER 18, ENTERING A PROGRAM.
SIGNED ______________________________________________________________________________ DATE ________________________________________________