New Milford, PA

Blue Ridge Youth and JH Wrestling Tournament
5 Man Round Robin
Sunday, March 1st
Blue Ridge High School
5058 School Road
New Milford, PA 18834
Directions: Blue Ridge is located about 20 miles south of Binghamton, NY and 45 miles north of Scranton, PA right off of Interstate 81. From the
north: From I-81 south take exit number 230 (Great bend, Susquehanna) and make a right. At the stop light, take a left and drive about 6 miles signs
for the campus should be on your right. From the south: From I-81 North take exit number 223 (New Milford, Lakeside) and make a left. Follow this
road down the hill to the end and make a right. Drive about 3.5 miles and signs for the campus will be on your left.
Entry Fee: $15.00 per wrestler, wrestlers limited to 1 division and weight class. NO REFUNDS!
Mail forms to: Karen Gudykunst, 364 Harford Rd. New Milford, PA 18834.
No entries Accepted after Wednesday, February 25, 2015.
Make checks payable to: Blue Ridge Wrestling Booster Club. For more info contact: Tim Esposito 570-860-6023
Admission: Adults: $3.00; Children: $1.00; 5 and under free
Rules: PIAA modified; 5-Man Round Robin; Bout length 1-1-1. (1.5-1.5-1.5 JH) with 1:00 sudden death OT followed by one 30 second ride-out UTB.
Headgear and singlet preferred; NO VARSITY EXPERIENCE; Not to exceed 15 years of
age; Honor weigh-ins (may be challenged by Tournament Director) Wrestlers will be grouped together by the weight in which they write on the
entry form, and by experience level.
**Honesty and integrity is worth more than any win. Be HONEST**
**Tournament Director Reserves the right to combine or eliminate weight classes/Divisions**
Ages as of March 1, 2015 Proof of age required if requested by Tournament Director
YOUTH: 6 and under
BANTAM: 7 and 8
MIDGET: 9 and 10
JUNIOR: 11 and 12
Junior High: 13, 14 and 15 (No Varsity Experience)
Awards: Individual medals for 1st-3 place by weight class and division. Ribbons for 4th and 5th. Champion T-shirt!
Tie Breaker: Tie breaker criteria will be posted near the head table.
Meals: Food and refreshments will be available all day!
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In consideration of this entry being accepted, I hereby, for my child, waive and release any and all rights and claims for damages I may have against
Blue Ridge Booster Club, the Tournament Officials, coaches, agents or successors, the Blue Ridge School District and assigns for any and all injuries
suffered by my child at said Tournament. I also take responsibility for any and all damages done by my child at said Tournament. I also understand
that my child must be covered by health/injury insurance policy as requirement for participation in this Tournament.
Name: ____________________________________________________ Birth Date: _____________________________
Division: ______________________________________ Age: ____________ Actual Weight: ____________________
Experience Level (Circle One)
Address: ______________________________________ State: __________ Zip Code: ________________________
Phone: ___________________ Club: _________________________
Parent’s Signature: __________________________________________ Date: _______________
Digitally signed by Pennsylvania Youth Wrestling
DN: cn=Pennsylvania Youth Wrestling, o=Pennsylvani Youth
Wrestling, ou=PYW, [email protected], c=US
Date: 2015.01.30 21:07:30 -05'00'