TUESDAY JUNE 7, 2022Spearfish High School Wrestling Room, Spearfish, SD

Register at www.bhnationals.com2022 Black Hills Nationals Wrestling Clinic

DIRECTOR and STAFF:Frank Pavich has been bringing quality Wrestling Camps and Tournaments to the Black Hills and Eastern Wyoming for the last 28 years. Our goal isto bring in top coaches to help wrestlers achieve their fullest potential.

ELIGIBILITY:This camp is open to all wrestlers 6-18 male or female.

COSTOne Day Clinic and REGISTRATION:• $75.00 for all participants who pre-register online, online registration closes May 31st.• $100.00 CAMP FEE THE DAY OF THE CLINIC - WALK-INS WELCOME.

Register at www.bhnationals.com

SCHEDULE:

REGISTER AT: WWW.BHNATIONALS.COM

TUESDAY, JUNE 7, 2022Check in 8:30a.m. - Clinic: 9:30a.m. - 11:45a.m. • Lunch will be provided 11:45a.m. - 12:30p.m. • Clinic 12:30p.m. - 3p.m. dismissal.Misbehavior will not be tolerated. Inappropriate conduct may lead to immediate dismissal. All transportation, due to disciplinary action, is the responsibility of the parents.

Name ________________________________________________________________________________________________________________________ Phone: ( ) ___________________________Street _______________________________________________________________________________________ City _______________________________ State___________ Zip Code _____________Weight Group ______________ Age: ____________ Grade: ____________

PLEASE READ THE FOLLOWING INFORMATION, ANSWER AND SIGN IN THE REQUESTED AREASI/We undersigned, hereby authorize any first aid, medical treatment or surgery deemed necessary in case of emergency for: (full name) ____________________________, a participant in the Black HillsNationals Wrestling Camp. I/We understand that I/We will be responsible for any expenses incurred on his behalf in connection with such treatment. I/We also authorize the camp appointed physician toexecute any permission slips and other appropriate documents and act on my/our behalf if I/We are not immediately available to do so.

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As a condition of enrollment, the following disclaimer of liability must be signed by the camper’s parent or guardian: The camper, in attending Black Hills Nationals Wrestling Camp and in using anycamp facility, does so at his/her own risk. Spearfish High School, Promotions Unlimited LLC, Frank Pavich, and the camp staff shall not be liable for any damage arising from personal injury sustained by thecamper during the camp or at the facilities. The camper and his/her parent assume all responsibility for any damages or injuries which may occur to the camper during the camp session and so hereby fully andforever exonerate and discharge Spearfish High School, Promotions Unlimited LLC, Frank Pavich, and the camp staff from any and all claims, demands, damages, right of action or causes ofactions, present or future, whether the same be known, anticipated, resulting from or arising out of the camper’s participation in the camp session and in the use of the facilities. I certify, that to the best of myknowledge, I am in good physical condition and have no disease or injury that would impair my performance in training or competition. I/We hereby consent to the participation of my/our son, ______________________________________ in the Black Hills Nationals Wrestling Camp. If he fails to obey the competition and camp rules, theDirector has the authority to expel him from the camp without refund.

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INJURIES ARE A PART OF ANY TRAINING CAMP. IT IS VERY IMPORTANT THAT YOU ARE IN GOOD SHAPE WHEN YOU REPORT TO CAMP. THE BETTER SHAPE THAT YOU ARE IN, THELESS LIKELY YOU WILL SUSTAIN ANY INJURY. IF YOU RECEIVE A MAJOR INJURY, YOU WILL BE RETURNED HOME. THERE ARE NO REFUNDS DUE TO INJURIES. For moreinformation please visit our website bhnationals.com or contact Black Hills Nationals Director, Frank Pavich at 605-641-0587.

2022 Black Hills Nationals Wrestling Camp and Tournament1 Day Clinic - $75.00 Pre-Registration for all participants who pre-register online by May 31st

1 Day Clinic - $100.00 day of check-inONLINE REGISTRATION RECOMMENDED AT: www.bhnationals.com

Featuring . . .

Roger Kish

Head Coach, North Dakota State University, 2010- CurrentMultiple All-AmericanBig 10 ChampionNCAA Runner upPan American Champion

NCAA-WWC Coach of the year2012-132013-142014-15