Coach Waters Wrestling Camps

[Caisson Coach]

Coach Waters Wrestling Camp
Registration Form
Name: ________________________________________
Phone: _______________________________________
Address: _____________________________________
City/Zip: _____________________________________
School: _______________________________________
Email: ________________________________________
Grade(17-18): _____ Age: ____ Weight: ______
Parent Signature____________________________________
Date__________________________________________________
Camp Release Statement: I acknowledge that
participation in wrestling camp has an inherent
risk. The child named above has my permission to
participate in the designated Coach Waters
summer wrestling camp. I understand
that camp participation will involve significant
physical activity which could result in injury. I
certify that my child is in good physical condition
and is fully able to participate. I assume all risk
incident to my child’s participation and release
Fishburne Military School, Coach Waters, its
employees, agents, offices and volunteers from all
liability, claim, expenses and actions which may
arise from injury or harm to the child as a result
of camp participation. In the event of medical
emergency, I authorize Coach Waters Camps to
designate a hospital, physician or emergency
personnel to provide care (including
hospitalization, if necessary) to the child and
release Fishburne Military School, Coach
Waters Camps from any liability for injury or
harm to the child which may result from this
medical care. I understand that responsibility for
payment of such medical care will be mine and
certify that the child is covered by adequate
medical insurance.
Make Checks to Terry Waters. 140 West
Gay Street, Staunton, VA 24401
Accepts All Credit and Debit cards.
Card holder Name: ______________________________
Billing Zip Code: ________________________________
Card number: ___________________________________
Expiration Date: ___________ CVR Code: _______
An Acceptance letter will be mailed once
registration is received.
Check all that apply:
______ Resident-$290.00
(Breakfast, Lunch and Dinner Provided)
______ Commuter-$260.00
(Lunch and Dinner Provided)
______ Visiting Coach or Parent-$175.00
______ Group Discount (10 or more) - $20.00
______ Family Discount - $20.00
_______ Register before 5/12/17 - $20.00
Only one discount per camper.
Group of 8 that register at same time
$20.00 discount per Wrestler. $20.00
discount for 2 or more from same family.
A 50.00 Non Refundable down payment
will hold your spot.
Camp limited to 60 campers
2017
COACH WATERS
WRESTLING CAMP
June 12th – 16th, 2017
Grades 3rd–12th
Featured Clinicians:
Quentin Wright: 2x National Champ, 4x
All American for PSU
Kerry McCoy: 2x Olympic Medalist,
NCAA Champion, and Head Coach Univ. of
Maryland
Zain Retherford: 2x NCAA Champ, PSU
Jason Nolf: NCAA Champ, PSU
Joey Dance: NCAA All American, Va. Tech
Fishburne Military School
225 South Wayne Ave
Waynesboro, VA 22980.
Email: twaters@fishburne.org
Monday Schedule
1 – 4pm Registration
4:05-4:30pm Orientation
6:00pm Dinner
6:30-8:30pm 1st Session
8:45-9:45pm Pool is open
10:55pm Campers in their rooms
11pm Lights Out
Tuesday – Thursday Schedule
6:50am Wakeup
7-8:00am Breakfast
8:20-11:20am Morning Session(Technique)
11:45-12:45 Lunch
1:30-4:20pm Afternoon Session(Technique)
4:45-5:45 Dinner
6:30-8:30pm Evening Session(Live
Competition)
8:45-9:45pm Pool is open
10:55pm Campers in their rooms
11pm Lights Out
Friday Schedule
6:50am Wakeup
7-8:00am Breakfast
8:20-11:20am Morning Session
11:45-12:45 Lunch
1:30-4:00pm Afternoon Session
4-4:45 Camp Check Out
Camp Store is open after every session for
snacks, drinks, etc.
.
Elementary Campers will be put together in
a camp of its own.
All campers will wrestle in team competition.
Teams will be formed first day of camp unless a
group brings a team to compete.
Group of ten or more registering at same time,
coach comes free.
Fathers that wish to attend camp will be housed
in same room with their son.
Technique Session Morning and Afternoon. Live
Team Competition each evening. Battle for the
Skyline Cup
Camp Staff:
Terry Waters
Terry Waters: Head Coach Fishburne Military
School. Coach Waters has run his camps for
over 30 years. He is among the states
winningest wrestling coaches. He has coached
11 state champs, 22 state runner ups, and has
been named coach of the year six time. His
2002 and 2004 high school teams went
undefeated. Prior to coming to Fishburne
Military School he was an assistant coach at
Washington and Lee Univ.
Kenny Courts: All American Ohio State Univ.
Alex Radsky: Asst. Coach Washington and Lee
Univ. Southern Conference Champion for
Davidson Univ.
Stuart Roes: All American Apprentice School
NCAA College wrestlers will serve as
c