2010 NIU Wrestling Camps
Coach Registration Form

Coach's Name                                               Street Address                                                            

City                                                                           State                             Zip                             

Phone (       )                                  

School Name                                                                                                                                    

Roommate Preference                                                                                                                       

Adult t-shirt size: Sm                  Md                   Lg                   XLg                    

Day Phone(       )                                         

Email Address                                            

Camp Options: Check appropriate boxes

         10 Day Training Camp Discounted Resident Coach Fee $250

         Individual Camp Discounted Resident Coach Fee $125

         Coach Free (Team Camp)

Please enclose special accessibility accommodation request(s).

 

Mail this completed form, the medical history form, and the $45 nonrefundable deposit to:

Northern Illinois University, Huskie Sports Camps
Convocation Center, DeKalb, Illinois 60115

To register with a credit card

Fax your registration information
to 815-753-7700.

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