Camp Registration Form

Note: Registration is a 2 part process -- please fill out your registration info and then go on to the payment page to pay for the camp(s).

All fields marked with a * are required:

Full Name of Camper*
Date of Birth*
Mother's Name
Father's Name
Address*
City*
State*
Zip*
Home Phone*
Work Phone
Cell Phone
Insurance Company
Email*
T-Shirt Size*
Age Group*
How Many Camps Are You Attending?*
 
Check Which Camps You Are Attending:
 
 
June 14-17 Takedown Master
June 21-24 Low Single
June 28- July 1 Takedown Defense & Counter Attacks
July 5-8 Intensive Training Camp
July 12-15 Leg Riding
July 19-22 Escapes and Reversals
July 26-29 Highlight Throws Hips & Tricks
Aug 2-5 Cradles, Turns & Pins
   
Emergency Contact Name*
Contact Relation to Camper*
Emergency Contact Home Phone*
Emergency Contact Work Phone
Emergency Contact Cell Phone
Camper's Age*
Current Weight*
Years in Wrestling*
School Grade*
Name of School*
Wrestling Club Name
Allergies
Other Physical Conditions
Wrestling Accomplishments
Valid USA Wrestling Card Number
How Did You Hear About Dallas Dynamite Camps?
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