Big Horn Nationals Wrestling Championships

CONTACT:_________________________ CLUB NAME:_________________________
ADDRESS LINE 1:__________________________________________________
ADDRESS LINE 2:__________________________________________________
PHONE:_________________________ FAX:_________________________
TOTAL # OF ENTREES_______________ X $37 FEE__________ = $__________

WRESTLERS
FIRST NAME 		LAST NAME BIRTHDATE AGE LBS RATING WIN LOSS
6 And Under
 
 
 
8 And Under
 
 
 
10 And Under
 
 
 
12 And Under
 
 
 
14 And Under
 
 
 
High School
 
 
 

AA National Placer    A State Placer             B State Qualifier           C Regional Qualifier

LIST ALL NATIONAL AND STATE PLACINGS ON REVERSE SIDE OF THIS DOCUMENT
ENTRY DEADLINE: November 5, 2008
Make Checks Payable to Big Horn Nationals Wrestling Championships
Mail Entry to: Big Horn Nationals, 950 S. Kent Bdlg. C., Liberty, MO 64068