TRAVIS GARDNER – CHAIRMAN
JAMES SCHWALM – ALTERNATE
JUANITA GARDNER ~ ALTERNATE
2019 AREA IX ~ YOUTH CHAMPIONSHIPS
Earn the Title:
“PENNSYLVANIA YOUTH STATE CHAMPION”
www.pajw.org
CUMBERLAND VALLEY HIGH SCHOOL
6746 CARLISLE PIKE
MECHANICSBURG, PA 17050
DATE: Sunday, February 24, 2019
Weigh~In Time: 8:00 – 9:30 AM
Wrestling Start Time: 10:30 AM
Tournament Director: Jason Mitchell
Phone:
717~525~0242
E~mail: jasonmitchell32@gmail.com
Registration: Online at http://wrestlereg.com – Deadline for online
entry is Friday, February 22, 2018 at 9:00 pm
Online Registration Only ** PRE~REGISTRATION
ONLY ** NO WALK IN
REGISTRATIONS ACCEPTED
Entry Fee: $25.00
Admission: Adults ~ $10.00 Students ~
$5.00
Awards will be awarded to 1st – 2nd – 3rd Place
Finishers
1st and 2nd Place Advances to the Youth State Championship, Saturday,
March 16 & Sunday, March 17 at Peterson Events Center,
Pittsburgh University
PJW RULES
1) Wrestler must reside in one of the
following counties; Adams, Cumberland, Franklin, Perry, York.
2) Wrestler may only submit 1 Entry Form.
3) Age as of December 31st, 2018.
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 Boys/Girls or Jr.
High).
6) No school issued uniforms or singlets
are permitted.
7) No weight changes permitted after
entry form has been submitted.
8) Wrestlers not making weight at weigh
in will forfeit their entry without refund.
9) Birth Certificate and proof of
residency of wrestler must be provided if challenged.
10) Advancing wrestlers must complete
advancement process prior to leaving tournament.
11) Advancing wrestlers will be required
to pay a non~refundable $90.00 apparel fee prior to leaving tournament.
12) Advancing wrestlers MUST provide a
copy of Birth Certificate prior to leaving tournament.
13) All Bout times are 2~1~1. Overtime is
1 minute sudden death, then 30 second ride out if needed.
14) Suitable undergarment must be worn
for weigh in.
15) Head gear is required, shoe laces
must be secured, PIAA hair rule applies, and mouth guard is required to
cover braces.
16) Seeding will be by records provided
on entry form.
17) Full double elimination format with
wrestle back for true second. * Weight classes with 6 or
fewer participants will utilize round~robin format.
18) Application must be completed in its
entirety.
19) Release and Waiver of Liability
Agreement & Participant Code of Conduct form must be completed
and brought along to weigh in.
20) Failure to comply with any PJW or
PIAA rule will result in disciplinary action and/or forfeiture of
participation.
21) Age Division & Weight
Class: 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
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 2019 PJW Events.
RELEASE AND WAIVER OF LIABILITY AGREEMENT & PARTICIPANT CODE OF
CONDUCT
I acknowledge 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.
