TEAM STOMP WRESTLING CLINIC
SUNDAY MAY 6TH 12p-4p
Grades: 4th-College
LCC Wrestling Room
720 South Cable Road Lima, OH 45805
Colt Sponseller (Ohio State University)
- 3x OHSAA State Champion
- Junior & Senior National Champion
- NHSCA Senior National MVP
- 2x Big Ten Runner-Up
- DI NCAA All-American
- 2x Freestyle National Champion
- Olympic hopeful with the Ohio RTC
Josh Demas (Ohio State University)
- 2x OHSAA State Champion
- 4x OHSAA State Placer
- NCAA DI National Qualifier
- Current OSU wrestler
Jason Brew (Ohio Northern University)
- 2x Michigan State Champion
- 3x Michigan State Placer
- NCAA DIII National-Runner-Up
- 2x NCAA DIII All-American
- NWCA Scholar All-American
Zach Mizer (Heidelberg University)
- OHSAA State Runner-Up
- 2x OHSAA State Placer
- Jr. National All American
- 2x OAC Champion
- DIII NCAA National Runner-Up
Wrestler’s Name __________________________________________________ ___________________________________
Address __________________________________________________ ________ Zip Code _________________________
Phone ________________________ Age ___________School _____________________Present grade ________________
Cost: Clinic $25_______ Clinic and T-Shirt $35_______ (Must be pre-registered by April 27th)
Shirt Size: YS YM YL S M L XL XXL OTHER___________
In consideration of the above named wrestler’s allowed participation in the Team Stomp Wrestling Clinic, we, and our heirs, administrators and estates hereby waive, release and discharge the Team Stomp Wrestling Club and any coach, officer and volunteer affiliated or associated in any way with said Club (hereafter all collectively referred to as the Released Parties) from any and all demands, claims and suits of any type for any damages and injuries of any nature regarding or concerning the above named wrestler at anytime, and we further, jointly and severally, agree to hold harmless and indemnify the Released Parties, jointly and severally, from any demands, claims and suits of any type for any such damages and injuries.
Parent’s/Guardian’s Signature: __________________________________________________ __ Date _________________
Wrestler’s Signature: __________________________________________________ __________ Date _________________
Mail Completed Registration Form and Payment To:
Team Stomp Wrestling Club
1628 Wendell Drive Lima, Ohio 45805
Contact Information:
Nick Sanchez - 419-230-0084
teamstompwrestling@gmail.com www.facebook.com/teamstomp