Northeast Rebel Takedown Tournament (Grades 7-12 ) and Clinic (Grades K-12) At Northeast High School 3690 Highway 136 Goose Lake, Iowa 52750 Date: Friday, June 11, 2010 Wrestling Clinic:3:00-5:00P.M. Weigh-ins: 4:00-5:30 P.M. Wrestling Starts at 6:30 P.M. Clinic Entry Fee: $ 10 Andy Norton-(state place winner) Assistant Coach of the Year at NPHS Jacob Elsbernd-(state place winner) Assistant Coach at BGM Beau Jack-(state qualifier) Former College Wrestler and Coach Tournament Entry Fee: Mail-ins-$12-Postmarked June 3rd (No Refunds) Mail to: Steve Farrell P.O. Box 232 Preston, Iowa 52069 Call-ins-$ 13-No Later than 8 P.M. June 10th Thursday Night Call to: Steve Farrell (319) 404-0722 Walk-ins-$15 Make checks payable to: Northeast High School Pairings: 4 man bracket, round robin Wrestling Divisions: Middle School Grades 7-8 High School Grades 9-12 Matches: 2-1-1 (O.T. is first takedown) Awards: Medals for 1st and 2nd Place Rules: All folkstyle rules expect when you take your opponent down you have approximately 15 seconds to turn him or he will be released and wrestling will continue on your feet. Any time the match stops you start on your feet again. Admissions: Adults $3 Students $ 1 Food: Concessions stand will be available Name ____________________________ Grade________ Weight _________ Address_______________________________ City________ State _____________ Zip Code___________ Phone#___________________ I plan on attending the Clinic Yes___ No___ Record W______ L_______ 7th and 8th Grade AAU State Qualifier/Place Winner________ Circle one Varsity or JV 9th-12th Grade State Qualifier/Place Winner______________ I certify that this information is correct and waive all claims for damage and/ or injury incurred during this tournament. I hereby accept full responsibility for my wrestler’s behavior. Signature of parents or guardian X___________________________