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21st Annual Mountain View Elementary and Jr. High Wrestling Tournament			
							
									
Official Qualifier for the TOURNAMENT OF CHAMPIONS, 1st, 2nd and 3rd.			
APRIL 24, 2004- COLUMBUS CONVENTION CENTER, COLUMBUS, OHIO			
									
	limit 350 wrestlers  -  PREREGISTRATION IS STRONGLY RECOMMENDED		
									
Date/Time:	 Saturday, February 28 th, 2004 ---  wrestling begins at 9:00 AM 			
									
Divisions:  	 (all ages are as of February 28, 2004)					
Div I:  	 (8 and under)    45, 50, 55, 60, 65, 70, 85, HWT				
Div 2:  	 (9 and 10)        55. 60, 65, 70, 75, 80, 85, 90, 100, 110, HWT			
Div 3:  	 (11 and 12)      65, 70, 75, 80, 85, 90, 100, 110, 120, 130, 140, HWT		
Div 4:  	 (13, 14, 15)      75, 80, 85, 90, 95, 100, 108, 115, 122, 130, 138, 			
		      145, 155,165,185, HWT (250 max)				
	tournament directors reserves the right to eliminate a weight class			
									
Weigh-ins:	Friday, Feb 27, 2004  6:00 - 8:00 PM 	Saturday, Feb. 28, 2004  6:30 - 8:00 AM	
Seeding:	by the tournament committee, on the day of the tournament			
Rules:	Modified PIAA rules	No J.V. or varsity experience allowed.			
Bout Times:	  Div 1, 2, 3    1-1-1 (OT sudden death) Div 4  1-1.5-1.5 (OT sudden death)		
Awards:	Trophies for 1st, 2nd, 3rd, and 4th places					
Entry Fee:	 $12.00 prepaid, payable to the Mt. View Wrestling Booster Club			
	$15.00 walk-ins the day of the tournament					
Entry deadline: 	On or before Thursday February 26, 2004				
									
Mailing Address:	Michael Panasevich	(570) 756-3619  fax 756-2826  email mike@srfarms.com
		R.D.1, Box 131			     Howard Gow  (570) 434-2225	
		Susquehanna, PA  18847					
									
Admission:	Adults $2.00     Students $1.00    children under 5 yrs. FREE			
Notes:	Absolute minimum of breaks throughout the day.  Birth certificates required upon request.
	Food and baked goods will be available all day; including breakfast.		
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Wrestler's name _____________________________   Age________Date of Birth _______________	
Address_____________________________________________________    Phone  _____________	
Division (circle one)   1    2     3    4                     	Weight:	 ________					
School or Club ______________________________________________________________________	
Seeding criteria (include record, years of experience, tournament victories, etc.)			
_	_	_	_	_	_	_	_		
									
_	_	_	_	_	_	_	_		
HAVE YOU WRESTLED AT OUR TOURNAMENT IN THE PAST 3 YEARS?   yes  /   no		
									
I certify that the above information is correct and that the participant is covered by either school	
insurance or a family health plan.  I hereby release the Mt. View Wrestling Boost Club, it's officials,	
tournament committee and the Mt. View School District from liability from injury or loss suffered by	
me or my wrestler directly or indirectly as a result of this tournament.