2002 HUSKERLAND WRESTLING STATE ENTRY and WAIVER PLEASE PRINT (This form must be completed and signed for each participant) NAME ______________________ WEIGHT _____* PHONE (____)____-______ CLUB __________________ GRADE ____ ADDRESS _____________________ 2001 HUSKERLAND STATE PLACE _____ CITY _______________ ZIP ________ 2002 RECORD WINS _____ LOSES _____ PCT. _____ (Wins / Matches) 2002 Camp Team Number___________________ (must have one to enter) School Attending_______________________ City________________________ School you plan to attend ___________________________________________ * Mark clearly and carefully the correct weight. Please select a safe weight. A random draw of 20% of the brackets will be weighed at matside this year. Any wrestler can be challenged for a $10 fee before their second match has started. Wrestlers must weigh in with singlet on. Any wrestler found to be more that 3 pounds over their bracket weight will be disqualified from the tournament. This format is designed to have wrestlers compete at their natural weight. HUSKERLAND WRESTLING WAIVER AND RELEASE In consideration of accepting this entry, I hereby for myself, my heirs, executors and assigns, do waive and release any and all claims and right for claims for damages I may have against Huskerland Wrestling, Cornhusker Wrestling Association, Maverick Wrestling Club, Sponsors, Coaches, the University of Nebraska at Omaha and their subcommittees, agents, representatives, and assigns, for any and all injuries suffered by me or by my child during wrestling competitions, or in any way connected with the 2002 Huskerland Wrestling State Meet. I have read the above waiver and release, understand that I give up substantial rights by signing it and sign it voluntarily. I also certify above information to be correct. ______________________ _____________________/___________ _______ APPLICANT'S SIGNATURE PARENT'S SIGNATURE/RELATIONSHIP DATE Huskerland Club Rates: $15 East of US 183 $1O Between US 83 & 183 - $5 West of US 83 Give to your club director to mail and make checks out to your club. Non Huskerland Club: $2O Make checks out to Huskerland Wrestling Mail to: Fred Hall - 1O1O SW 21st St. Cr. - Lincoln, NE 68522 Entries Must Be Mailed BY Saturday, March 3Oth, 2OO2 MUST BE A NEBRASKA RESIDENT Only exceptions are out of state wrestlers who wrestle exclusively for a Huskerland club, have not participated in another state's district or state competition, and club director has obtained special permission from Fred Hall. SIX CONSECUTIVE YEARS RULE A wrestler is limited to six consecutive years of competition eligibility for Grades 3 to 8 at the Huskerland State Meet. AGE LIMITS Grades 3-4 must be born after 8/1/90. Grades 5-6 must be born after 8/1/88. Grades 7-8 must be born after 8/1/86. NO 1ST OR 2ND GRADERS CAN ENTER THIS MEET Must not of wrestled at freshman or high school events.