South Carolina Wrestling Coaches Association

3665 South Industrial Drive

Simpsonville, SC 29680

FAX- (864) 355-3382

APPLICATION FOR 2010 NORTH/SOUTH ALL-STAR WRESTLING MATCH

(Coaches be sure to note that conduct and behavior are a huge requirement for nomination. Do NOT nominate an athlete who you think can not represent our organization in the proper manner)

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: _____-_______-_________

Coach:__________________________________ Home Phone: _____-_______-_________

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 FEBRUARY 5, 2010 by 3:30 PM

TO: Tommy Bell

Hillcrest HIGH SCHOOL

3665 South Industrial Drive

Simpsonville, SC 29680

FAX # (864)-355-3382