2010 HIGHLAND WRESTLING

Please complete the following forms (registration form and the signed rules form)
and mail with registration fee of $10.00 BEFORE May 7th, 2010.  

Entries received after May 7th, 2010 will be returned.
 
PLEASE enclose a self-addressed stamped envelope with your payment.

MAKE CHECK PAYABLE TO: 
Glasgow Highland Games;  119 East Main Street;  Glasgow, KY  42141

NAME:	________________________________________________________

ADDRESS:________________________________________________________

CITY:	_______________________STATE:	________ZIP:	__________

PHONE:	DAYS	______________________________________________
		EVE	___________________________________________________
		CELL	______________________________________________
E-MAIL:	________________________________________________________

Age category:
6-7 yrs._________ 8-9 yrs. _________ 10-11 yrs. _________ 12-13 yrs. _______

14 & Over Weight category: 
100-149 lbs. __________  150-199 lbs. __________  Over 200 lbs. ___________
Age:______________Date of Birth:_______/_______/_______ 
				                   Month      Day       Year 

This is the _______________________day of________________________, 2010

_____________________________	____________________________________
PARTICIPANT, Signature		GUARDIAN OF PARTICIPANT, Signature

_____________________________	____________________________________
PARTICIPANT, Signature		GUARDIAN OF PARTICIPANT, Signature
PRINTED					PRINTED

For further information, contact: Dave Chagnon days at 1-501-257-1950
or evening at 1-501-851-1174, or email sennachie@earthlink.net