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All-American Bread and Butter Camp 2021
Please fill out the following information for your wrestler. Starred (*) fields are required.
Wrestler information
*Wrestler name:
*Gender:
*Wrestler birthdate:
*Grade completed:
*T-shirt size:
*Team name:
Check this box if your wrestler will NOT be staying at camp each night, but instead sleeping off-site and commuting to camp each day. Total cost will be reduced to $175. Our wrestler will NOT be sleeping on campus.
(Optional) Family Camp information
Will your family be staying in a tent or RV during the week?
If your family is staying in a tent or RV, you have the option of joining Riverview for meals. We charge just $9 per person per meal, or $99 per person for the week. (Ages 3 and up)
Yes we will purchase food service. $99 per person will be added to the registration. Please enter the number of people (Other than your wrestler) purchasing our food service:
Medical information
Please list any medical allergies
Please list any food allergies (Please note Riverview will not be responsible for ensuring food is allergen free)
Is the camper taking any medications? Yes No
If yes, please list all medications.
Is there any other medical information we should know of?
Parent/Guardian information
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
Email:
Home Phone:
Cell Phone:
Work Phone:
Emergency Contact information
The emergency contact needs to be available to pick up the camper at any time, and at their own cost
*Name:
Relation to Camper:
Home Phone:
Cell Phone:
Work Phone:
Release and Arbitration Agreement
I have read and agree to the Release of Liability, and agree to it.
I have read the Covid-19 waiver, and agree to it. I also understand that in the sport of wrestling there is no mask wearing and no social distancing.
Please note your registration will not be complete until you submit payment.