Registration Form

Send to:  Huntington High School Athletic Department

Huntington Wrestling Camp c/o Lou Giani

Oakwood Rd.

Huntington, New York 11743

Name________________________________________School_____________Grade___

Address:_________________________________________________________________

School District___________________

City/Town:___________________________________State______Zip______________

Day Phone:___________________Night _________________

Date of Birth_______________________

USA Wrestling Card Number____________________