Mayhem at Midland
1st Annual Outdoor Takedown Tournament

$30.00 ENTRY FEE FOR CLINIC AND COMPETITION
** A portion of the tournament proceeds will be donated to the Trout family to help with Doyle’s medical expenses. #doylestrong **

Friday, June 19th
Hosted by Archbishop Bergan & Fremont High
UNDER THE LIGHTS AT HEEDUM FIELD!!!
(Fremont High Gym in case of inclement weather)

1558 E. Military, Fremont, NE

Weigh-ins from 4:00-5:30pm
Clinic begins at 5:00pm
Wrestling begins at 7:00pm

Divisions: PreK – K, 1st – 2nd, 3rd – 4th, 5th – 6th, 7th – 8th, 9th – 12th

ALL AGE GROUPS WILL WRESTLE ON FULL MATS

Format: 4 MAN ROUND ROBINS, 4 minute matches (continuous clock), Takedowns only

Awards: Medals for 1st – 4th Place, ALL COMPETITORS WILL RECEIVE A T-SHIRT!!!

Concessions available throughout the evening

Admission: $3 Adults, $2 Students & Senior Citizens

Contact: Curtis Marolf, curtis.marolf@berganknights.org, (402) 676-3599 or Ben Wilcox, ben.wilcox@fpsmail.org, (402) 405-2420

PLEASE PRINT LEGIBLY and send registration form and check payable to Shamrock Wrestling Club to:
Curtis Marolf, 2303 E. Dodge Street, Fremont, NE 68025 (MUST BE POSTMARKED BY FRIDAY, JUNE 12th)
Wrestler:____________________________________________________ Grade (2014-15): __________________
School/Club: ________________________________ Weight: ____________ Shirt Size: _________ (circle) Youth - Adult
Phone Number: ______________________________ Email: _______________________________________________
Experience Level (Circle One): Beginner (1st or 2nd Year) Intermediate (Varsity/> .500 Record) Advanced (State Qualifier +)
MAKE CHECKS PAYABLE TO SHAMROCK WRESTLING Follow @BerganWrestling on Twitter for updates

Liability Waiver: In consideration of your accepting this entry, I hereby for myself, heirs, and administrators, waive and release the Bergan Booster Club, Archbishop Bergan Catholic School, Fremont High School, and Midland University of all liability for any injuries suffered by me at or in connection with the Mayhem at Midland Outdoor Wrestling Tournament. The release includes all club coaches, directors, officials, workers, board members, and any others connected with the tournament.
Parent Signature: ________________________________________ Date: ________________________

*** NO REFUNDS will be given if you are unable to attend – remember proceeds are going to help a wrestling family in need ***