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2015 AREA IX - YOUTH CHAMPIONSHIPS
Earn the Title:
PENNSYLVANIA YOUTH STATE CHAMPION
www.pajw.org

SPRING GROVE AREA HIGH SCHOOL
1490 ROTHS CHURCH RD
SPRING GROVE, PA 17362

WWW.PJWAREAIX.COM
TRAVIS GARDNER _ CHAIRMAN
JAMES SCHWALM _ ALTERNATE
INFO@PJWAREAIX.COM

DATE: Sunday, March 15th, 2015
Weigh_In Time: 7:00 _ 8:30 AM
Wrestling Start Time: 9:30 AM
Tournament Director: Tim Rice    Phone: 717-451-9864    E-mail:  timothyrice@verizon.net
Registration: On line registration only at http://wrestlereg.com _ Deadline for online entry is 5:00 pm Friday, March 13, 2015

PRE-REGISTRATION ONLY   **   NO WALK IN OR MAIL IN REGISTRATIONS ACCEPTED

Entry Fee: $25.00 plus $2.00 WrestleReg Fee.
Admission: Adults - $6.00    Students - $4.00
Awards will be awarded to 1st _ 2nd _ 3rd Place Finishers    
1st and 2nd Place Advances to the Youth State Championship, March 20th & 21st at Erie, Pa

PJW RULES
1)    Wrestler must reside in one of the following counties; Adams, Cumberland, Franklin, Perry, York.
2)    Wrestler may only submit 1 Entry.
3)    Age as of December 31st, 2014.
4)    PJW and PIAA rules apply to all applicants, coaches and spectators.
5)    An 11 and 12 year old on a Jr. High roster may choose only 1 PJW tournament series (Youth or Jr. High).
6)    No school issued uniforms or singlets are permitted.
7)    No weight changes permitted after 5:00 pm on Friday, March 13, 2015.
8)    No satellite weigh ins or early weigh ins.
9)    Wrestlers not making weight at weigh in will forfeit their entry without refund.
10)    Birth Certificate and proof of residency of both wrestlers must be provided if challenged.
11)    Advancing wrestlers must complete advancement process prior to leaving the tournament.
12)    Advancing wrestlers will be required to pay a refundable $75.00 deposit for singlet use prior to leaving tournament.
13)    Advancing wrestlers must provide a copy of Birth Certificate prior to leaving tournament.
14)    All Bout times are 2-1-1. Overtime is 1 minute sudden death, then 30 second ride out if needed.
15)    Suitable undergarment must be worn for weigh in.
16)    Head gear is required, shoe laces must be secured, PIAA hair rule applies, and mouth guard is required to cover braces.
17)    Seeding will be by records provided on entry form.
18)    Full double elimination format with wrestle back for true second.
19)    Application must be completed in its entirety.
20)    Release and Waiver of Liability Agreement & Participant Code of Conduct form must be completed and brought along to weigh in.
21)    Failure to comply with any PJW or PIAA rule will result in disciplinary action and/or forfeiture of participation.


8 and Under:  45   50   55   60   65   75   90   110
9 & 10 YR OLD:   55   60   65   70   75   80   85   90   95   105   120   150
11 & 12 YR OLD:   65   70   75   80   85   90   95   100   105   115   125   135   145   160   200

I hereby state that all information provide on this entry form is correct and I understand that by falsifying any information will result in forfeiture of my entry. I agree to abide by all PJW and PIAA rules while participating in the 2015 PJW Events.

RELEASE AND WAIVER OF LIABILITY AGREEMENT & PARTICIPANT CODE OF CONDUCT
Iacknowledge that I have voluntarily applied to participate in the Pennsylvania Junior Wrestling (PJW) Tournament.   I am aware that these activities may be hazardous and that I could be seriously injured.  I am voluntarily participating with knowledge of the danger involved, and agree to assume any and all risks of bodily injury, or death, whether those risks are known or unknown.
As consideration for being permitted by PJW, and any owner, administrator, tournament director, chairperson of the premises holding any of the events, to participate in these activities and use the premises and facilities,  I forever release PJW or any Lessor or any PJW affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors,  and representatives (collectively Releasees) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or(iii) the condition of the premises where  these activities occur, whether or not I am then participating in the activities.   I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.
I have carefully read this agreement and fully understand its contents.  I am aware this is a release of liability and a contract between myself and PJW, and the lessors, and sign it of my own free will.  When Signed by Parent or Guardian: I recognize the dangers of the activities and the significance of this Release and Waiver were explained to the Participant and that the Participant understood them, or I, as parent of the Participant, understand them.
I understand the Tournament Director, under the guidance of the PJW rules and administration, may withdraw our son/daughter from any Tournament if he/she is involved in behavior or activity deemed to be detrimental to the health, safety or welfare of other participants, spectators, tournament staff, or tournament sites; or if involved in actions considered to be detrimental to the goals and objectives of PJW or in violation of the PJW Code of Conduct.  We have read and agree with the tournament rules as listed on the information page.