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:
 
 
Takedown Master: June 13-16
High Level Single Attacks: June 20-23
Takedown Defense & Counter Attacks: June 27-30
Escapes and Reversals: July 4-7
Leg Riding: July 11-14
Tilts, Turns & Pins: July 18-21
Highlight Throws, Hips & Tricks: July 25-28
Intensive Wrestling Camp: August 1-4
   
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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