South Carolina Wrestling Coaches Association

3665 South Industrial Drive

Simpsonville, SC 29680

FAX- (864) 355-3382

APPLICATION FOR 2007 NORTH/SOUTH ALL-STAR WRESTLING MATCH

PLEASE PRINT OR TYPE INFORMATION:

First Name: _______________ MI:_____ Last Name:_________________________

Home Address:_________________________________________________________________

City:________________________ Zip Code:____________________

Home Phone: 8_____-_______-_________ Weight Class:_____________

School:__________________________________________ School Classification:_________

School Address:________________________________________________________________

City:________________________ Zip Code:____________________

School Phone:8_____-_______-_________

Coach:__________________________________ Home Phone:8_____-_______-_________

Record:

12^th__________ 11^th_________ 10^th__________ 9^th__________

Accomplishments:

Senior Year: ___________________________________________________________________

Junior Year:____________________________________________________________________

Soph Year:_____________________________________________________________________

Frosh Year:____________________________________________________________________

USE BACK TO COMPLETE IF NECESSARY

YOU MUST NOTIFY ME OF ANY WEIGHT CLASSIFICATION CHANGE

RETURN BY FEBRUARY2, 2007 TO: Coach Tommy Bell

Hillcrest High School

3665 South Industrial Drive

Simpsonville, SC 29680

FAX # (864)-355-3382