8th Annual VIPERS "Mike Beck Memorial" Wrestling Tournament
Welcome to the HCW Vipers Tournament Registration Page. Please complete all entry fields, submit payment, and bring a copy of your confirmation email with you to weigh-ins.
**NOTE** If you have more than one wrestler to register, please do them one at a time! When you have completed and paid for the first child, then start over again for the next one. This registration form can't accept multiple entries at once. If you are a team with 10 or more entries, you can contact me directly at: msimon2000@hotmail.com
WHEN: Sunday, November 29th, 2009
WHERE: Reservoir High School, 11550 Scaggsville Rd, Fulton, MD 20759
DIRECTIONS: From I-95, take Rt. 216 West (exit 35B), school is approx 3 miles up on the Right.
WEIGH-INS: Saturday (11/28/09) from 5:00-7:00pm @ Reservoir High and Sunday (11/29/09) from 7:00-8:00am (weight class changes will NOT be allowed the day of the tournament)
START TIME: 9:30am on 5 Mats
ADMISSION: $5 - Adults, $3 - Students, Children 5 years and under are Free.
AWARDS: Trophies will be given to the top 4 finishers in each weight class.
ENTRY FEE: $20 if registered by Sunday, 11/15/09. After that date, the registration will be $25. Only the first 400 entries will be accepted! NO WALK-INS WILL BE ACCEPTED!
RULES: National Federation (modified) rules govern this tournament. Brackets are double-elimination from the quarterfinals on! Wrestlers can enter more than one weight class, but only one per division. There is no guaranteed rest between matches. All periods are 1-1-1 (Regulation OT -- 1, :30, :30, :30). Headgear is mandatory, singlets are recommended. Tournament director reserves the right to combine weight classes with less than 3 entrants.
YOUR WRESTLER'S INFORMATION
Last Name:
*
First Name:
*
Middle Name:
Date of Birth:
*
Month
Jan
Feb
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Jul
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Day
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2010
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Street Address:
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City:
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State:
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
*
Phone Number:
*
Type of number?
*
Home
Work
Cell
Alternate Phone Number:
Type of number?
Home
Work
Cell
Please enter a valid, working email address below. This address will be used to send your confirmation email after you complete this registration form. Bring a copy of the confirmation email with you to weigh-ins...Thank you!
E-mail:
*
DIVISION, WEIGHT CLASS, AND HONORS INFORMATION
Your wrestler's age will be determined as of the day of the tournament (11/29/09). Proof of age must be available if challenged.
** Please select the division for your wrestler:
Division:
*
Tot (6 & Under)
Bantam (7 & 8)
Midget (9 & 10)
Junior (11 & 12)
Intermediate (13 & 14)
** Please select the appropriate division and weight from the drop-down menu's below:
Tot Weights:
40
45
50
55
HWT
Bantam Weights:
45
50
55
60
65
70
75
HWT
Midget Weights:
50
55
60
65
70
75
80
85
90
95
100
HWT
Junior Weights:
60
65
70
75
80
85
90
95
100
105
115
125
140
HWT
Intermediate Weights:
75
80
85
90
95
102
108
114
120
126
132
138
144
150
HWT
Current Team Name:
Last Year's Record:
List any wrestling honors you would like considered during the seeding meeting.
Wrestling Honors:
Liability Waiver
I hereby give my child permission to wrestle in the 2009 Vipers "Mike Beck Memorial" Wrestling Tournament and release all sponsoring bodies (HCW, Inc., Howard County Recreation and Parks, Howard County Public School System, Reservoir High School Boosters Club, and any others that may apply), their officers, officials, tournament officials, committees, and referees from any and all liabilities or claims.
I have read and agree to the above release of liability:
*
Yes
Payment Details:
Ok...You're almost finished with the online registration process! First, we need to take care of the tournament entry fees of $25 per wrestler. Tournament fees must be paid prior to completing this registration process.
By pressing 'Register & Pay' below, you will be submitting your registration information and will be taken to Paypal.com to finalize your payment. Please make sure all information is correct prior to clicking the button below as this is the final step.
*** PAYING BY PAYPAL ***
After clicking Register & Pay below, you will be taken to the Paypal website to complete the payment process. If you do not have a Paypal account...don't worry, there is a link towards the bottom left of the screen that will allow you to submit a payment using your credit card without having a Paypal account. If you have a Paypal account, you can use it to complete the payment.
*** CONTACT INFORMATION ***
If you run into a problem with the registration process, you can contact Mark Simon at: msimon2000@hotmail.com (email) or 301.498.9226 (phone). Please refrain from calling unless you absolutely need to...
****** ONLY CLICK THE 'REGISTER & PAY' BUTTON ONCE ******
Registration:
*
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