Applicant_______________________________________________________________________

last first telephone #

Home Address____________________________City____________________State_____Zip__________

School_______________________________Coach______________________Grade___________

This is the application for enrollment of _________________________(students name) in the Next Level Wrestling

Camp at Campbellsville University. I hereby agree to save and indemnify and keep harmless the said Next Level Wrestling

Camp and it’s agents against any and all liability claims, judgments or demands for damages arising as a result of injuries by the

applicant during his stay at the school and on the school grounds, or while wrestling or taking wrestling instruction.

Parent or Guardian signature____________________________ Deposit Enclosed$_______

Mail this form to:

The Next Level Wrestling Camp Make Checks Payable to: Overnight

UPO 793 The Next Level Wrestling Camp or

1 University drive Day Camper

Campbellsville, KY 42718 (circle one)