OFFICIAL ENTRY FORM for the 2009 Redbird Open
April 4th, 2009 from the Shirk Center on the Campus of Illinois Wesleyan Univ.
The Redbird Open is organized by the Redbird Wrestling Club @ Illinois State University.
Mailing Address: Redbird Wrestling, Dean of Students, ISU Campus Box 2700, Normal IL 61761
Phone Numbers: (309) 750-1334, Fax:(309) 438-5593
WEBSITE:http://www.geocities.com/redbirdopen
Name ___________________________________________________________Birthday ___________________________
Home Address _______________________________________________________
City _________________________________________________State ____________Zip Code ________________________
Main Phone Number____________________________
Emergency Contact ___________________________ Emergency Phone _____________________________
How Did You Hear About the Redbird Open? _________________________________________________________
Predicted Weight__________________________
Team/Club Name____________________________________________________________________
Weigh- Ins April 3rd, 7pm-9pm & April 4th, 6:30am-7:30am
Please notify the Tournament Headquarters if you require any special accommodations.
CHECK YOUR AGE DIVISION and FEE BELOW (This is the grade that you were in the past year)
Entry Fee if received before 3/20/2009 : 20$ (______)
Entry Fee if received after 3/20/2009: 25$ (______)
Cash awards are not presented to the winners of the tournament because of the restrictions imposed by the Illinois High School Association and the NCAA on cash awards and future participation in their sponsored events.
Return all materials to: Redbird Wrestling, Dean of Students, ISU Campus Box 2700, Normal IL 61761
Authorization and Release
NOTE: Release must be signed by parent or guardian if applicant is under age 18 as of the date of this release.
Player�s Name:_______________________________________________________
Birth Date:_____________________________
I hereby certify that facts in this entry form are true and correct. I certify that the birth date is correct. I understand that by participating in the Redbird Open, the name, photograph or other image, and other information (including but not limited to age and hometown) relating to the participant may be used for publicity purposes. Publicity purposes may be in the form of brochures, postings on the tournament web site, videos, displays, radio programs, newspaper releases or articles, or other forms of media.
The undersigned Applicant, for his or her heirs, assigns and legal representatives, releases, discharges and holds harmless the Redbird Open Committee, the Bloomington-Normal Sports Commission, the Bloomington-Normal Area Convention and Visitors Bureau, all tournament and title sponsors and their affiliates, their directors, officers, members, employees, staff, volunteers, agents and representatives from any and all liability for any events or consequences whatsoever and in any manner arising out of or related to Applicant�s entry and/or participation in this tournament, including but not limited to personal injuries sustained by Applicant.
In the event of a medical emergency occurring during the tournament, the undersigned hereby authorizes all necessary measures in the medical treatment of Applicant.
Signature of Parent or Guardian_______________________________________
Relationship to Participant___________________________________________
Name of Participant___________________________________________________
Date Signed___________________________________________________________
Redbird Open General Information and Age/Eligibility Acceptance
(Please read carefully all information concerning the Redbird Open General Information and Age/Eligibility. Make sure this section is signed by both the applicant and parent or guardian.)
The signatures below verify that both applicant and parent or guardian have read the Redbird Open General Information and Age-Eligibility.
X________________________________________________ (Applicant)
X________________________________________________ (Parent or Guardian)
Payment Method (check one):
Check # _________ ( payable to: Redbird Wrestling)
Money Order __________ ( payable to: Redbird Wrestling)