Info - Apex Wrestling

 APEEX WREESTLING COM
MMUTER
R CAMP
P – 12
2
th
ANNU
UAL
JULY
Y 27TH – JULY 3
30TH 20
015
9am to 1:30pm ‐ $120
Calkins
s Middle Sc
chool,
1899 Calkins Ro
oad, Pittsfford, NY 14
4534
Ian Pa
adock, Three
e-time NCAA championship
ps qualifier, Big
B Ten Wresttler of the We
eek, Team Ca
aptain, NWCA
A All-Academiic
Tea
am recipient (2
2010-11), two
o-time Academ
mic All-Big Te
en, four-time O
Ohio State Sccholar-Athlete
e.
- Four-time New York
Y
State cha
ampion as a five-time
f
qualiifier, advance
ed to fifth finall during senio
or campaign, but fell short of
o
his b
bid to become
e a five-time champion,
c
dro
opping a clos
se 4-3 decisio
on at 135 poun
nds, compiled
d a 268-7 high school reco
ord,
Secction V all-time
e wins leader, second all-time in wins in
n New York sttate, named D
Division II Mo
ost Outstandin
ng Wrestler in
n
2008 after winnin
ng 130-pound
d class in 2007
7, was New York
Y
state cha
ampion at 119
9 pounds and
d helped Warssaw to team
championship, NHSCA champ
pion sophomo
ore year; finis
shed fourth ju nior year; seccond senior yyear, Cadet an
nd Junior
Natiionals seven--time All-American.
Jason
n Bovenzi, As
ssistant Wres
stling Coach at
a the Roches
ster Institute o
of Technologyy. 2X Division
n 3 NCAA Ch
hampion from St.
Law
wrence Univerrsity and Ithac
ca College an
nd 3X All Ame
erican.
t
- Secction Five Cha
ampion and 4th
in the NYS Championships from Gree
ece Athena H
HS.
- Form
mer Head Varsity Wrestling Coach at Pittsford Centrral Schools (2
2002-2013) an
nd East Roch
hester Centrall Schools (19962002). Section and
a League Coach
C
of the Year.
Y
Bill Ja
acoutot, 28 years
y
as the Spencerport
S
wrestling
w
coac
ch. 353 wins, five Nationally Ranked Te
eams, seven N
NYS Team
Cha
ampionship tittles, 21 Sectio
on V Team Titles, 11 NYS Individual Ch
hampions and
d 34 NYS Individual Place Finishers.
In 2008, recogniz
zed as the Na
ational High School
S
Coaches Associatio
on (NHSCA) N
National Coacch of the Year
 All G
GRADES 7‐12, Younger w
with speciall permission
n, Contact Ja
ason  All individualss must send in the regisstration form
m with a $500 non‐refund
dable depossit.  There will be only a limited num
mber of camp
pers, your $$50 will be reeturned if you are not aaccepted.  Training Camp ssessions 9a
am to 1:330pm & CA
AMP COSTT $120  Family d
discounts arre available:: 2nd, familyy member reeceived $10 off, etc.
Forr More Info
ormation orr to Register On-Line G
Go To: WWW
W.ApexWresstling.com
Co
ontact Inforrmation: Jasson Bovenzzi at: 585-8
802-5799
E: JAB
Batl@RIT.ed
du
COMMUTTER CAMP REGISTRA
ATION FORM
M Please Print &
& Mail to: 20 H
Hopper Hills Way, Meendon NY 14506. Paayable to: APEEX
Athlete N
Name: _____
__________
___________
__________
____ Parent or Guardian
n: ______________________________
_____ Address:: _________
___________
___________
__________
_______ Cityy: ____________________ State: _______ Zip: ____
____ Birth datte: ________
_______ Age
e: _______ G
Grade: _____
__ School: _____________ Weight: _________ Yrrs. Exp: ____
_____ Shirt Sizee: Youth: S M L Adult: S M LL XL 2X
XL Weightt: ________ Yrs. Experieence: _____
_____ Allergiess/Medicatio
ons: _______
___________
__________
_____________________________________________________
_____ Does you
ur child have
e Insurance: Yes or No
o Provider: _____________________ Policy # ________________________
____ Parents Email Addre
ess: ________
__________
___________
_________________________ Phone #___________________
____ Parents Email Addre
ess: ________
__________
___________
_________________________ Phone #___________________
____ Neither Apexx Wrestling nor thee staff of the Apexx Wrestling Camp a
assumes responsib
bility for accidents or medical expenses incurred as a rresult of participattion. All athletes m
must assume respo
onsibility for any m
medical expenses iincurred. I have ad
dequate medical ccoverage and insurrance and give myy son/daughter peermission to attend
d the Apex Wrestliing Camp and I a
agree to indemnifyy Apex Wrestling a
and its employees ffor any claim whicch may hereafter bbe presented by m
my child as a result t of any such injuriees Photo Reeleases: I give permission p
for AP
PEX to use any ph
hotographs, digita
al images, videotaapes, DVDs, film, CDs or audio reco
ordings. These ittems may be used
d for any reasonable p
purposes, including
g but not limited to, Promotional, FFundraising, Advertising, and/or Edducational purposees, and need not iinclude the child’ss name or any info
ormation about him/heer. I waive the rig
ght to inspect and//or approve the ap
ppearance or use o
of the above‐refereenced items. Parent/Gu
uardian's Signa
ature: ______
_____________
____________
______________________ Datte: _______________________ d you pay? Check # ______
C
______ or CCash $________
_____ Amountt $_____________ How did