COUNT PULASKI OPEN
Sponsored by the Town of Pulaski & the Cougar Crush Wrestling Club
DATE: Saturday, March 29, 2008
LOCATION: Pulaski Middle School, 500 Pico Terrace, Pulaski, VA 24301
-directions below-
ENTRY FEE: $12 per wrestler
WEIGH-INS: Satellite weigh-ins Friday Night at Christiansburg MS
On-site weigh-ins on Saturday Morning from 7 – 9 AM
FORMAT: To Be Determined (decision based on turn-out)
DIVISIONS: Pee-Wee (K-2), Bantam (3-5) and Middle School (6-8)
WEIGHT CLASSES: TBA - will be formed after weigh-ins
TIME PERIODS: Pee-Wee & Bantam 1-1-1, Middle School 1-1½-1½
MEDALS: Top 3 in each weight class
For more information contact Dan Butler at (540) 239-4009 or dbutler@pcva.us
DIRECTIONS TO PULASKI MIDDLE SCHOOL
From Interstate 81 – Take EXIT 94 and follow VA-99 toward Pulaski, at third stoplight make RIGHT onto EDGEHILL DRIVE, stay right straight up hill to go onto FRANKLIN DRIVE, keep school on left, make LEFT onto 7th Street, then LEFT onto PEPPERS FERRY…Pulaski Middle School entrance is on the left
TOURNAMENT ENTRY FORM
Please bring this form to weigh-ins
-must be completed by Legal Parent or Guardian-
NAME: __________________________________________________ GRADE: _______ AGE: _______
(please print)
PLEASE CIRCLE YOUR DIVISION: PW B MS
ADDRESS: __________________________________________________________
CITY: ______________________ STATE: _______ ZIP: _______________
SCHOOL/CLUB: ____________________________________ APPROXIMATE WEIGHT: ______
WAIVER: I hereby certify that the above information is true, that I am the parent/legal guardian of the above child, and that I approve of his/her participation in the Count Pulaski Open. I assume full responsibility and understand the risks of my child participating in this event, including injury or death due to falls, collisions with other participants or spectators, and all other risks. Also, inconsideration of your accepting my child’s entry, we the parent(s) and the participant waive and release any claims for damages we may bring against any entity, including (but not limited to) the Town of Pulaski, the County of Pulaski or their Recreation or Sports Departments or Recreation Commissions, the Pulaski County School Board and/or the Pulaski County Cougar Crush Wrestling Club and their designees or helpers for any injuries suffered by me or my child.
PARENT/LEGAL GUARDIAN SUGNATURE: ________________________________ DATE: _______________
PARTICIPANT SIGNATURE: ___________________________________________ DATE: _______________