Train with an OLYMPIAN this SPRING!
SERGEI KITAEV WRESTLING
All Wrestlers - Tuesday’s and Thursday’s -
6:00 - 7:30 PM - March 15th - June 30th - Limit First 30 -
****$175 IF YOU SIGN UP and PAY PRIOR TO MARCH 1ST****
$200 AFTER MARCH 1ST
Location: Worthington Kilbourne HS: 1499 Hard Rd, Columbus, OH 43235
Contact: Brett Shaut –
[email protected]
Master Coach - Sergei Kitaev
2012 Belarus Olympic Head Freestyle Coach - London Olympics
2X National Champion USSR, Former Ohio State University Wrestling Club Coach, Master of International Wrestling, Coached numerous High School State Champions, Collegiate All-Americans as well as many USA National and World Level Wrestlers
Andrew Legg
Tournament of Champions—Champ, NHSCA National Champ, Folkstyle World Champ, 3x Ohio State Placer, National Greco Roman All-American, Freestyle and Greco Roman Ohio State Champ, Virginia Duals Champ, 2x Junior Olympic Champ. High School Record 138-14
Kitaev Wrestling is for those who want to boost their training this offseason. Coach Kitaev believes in fundamental and basic wrestling techniques, hard work, and a positive attitude are required for success in wrestling and is excited to share his knowledge from training around the world. Coach Kitaev will take time to discuss the mental side of wrestling such as mental toughness, goal-setting, training mentalities, competition tips, and more. Folkstyle, Freestyle and Greco techniques will be covered.
RESERVE YOUR SPOT NOW! LIMIT TO THE FIRST 30 WRESTLERS!
Mail this registration form and check to
WKWA 1499 Hard Rd, Columbus, OH 43235 Attn: Brett Shaut
NAME: ______________________________________ AGE: ________ USAW #_________________
SCHOOL: ____________________________________ YEAR IN SCHOOL:_____________________
PARENT NAMES: _______________________________________________________________________
ADDRESS: ______________________________________________________________________________
CELL PHONE(S): _______________________________________________________________________
EMAIL: __________________________________________________________________________________
EMERGENCY CONTACT & PHONE: ___________________________________________________
T-SHIRT SIZE: ________________________ USA Wrestling Membership REQUIRED (
www.usawmemberships.com)
AMOUNT ENCLOSED : _____________ (Make checks payable to WKWA)
Disclaimer or Liability Waiver
Sergei Kitaev Wrestling, WKWA, does not assume liability for any injuries incurred while in route to or from or participating in any training session or competition. As a condition of enrollment, the following Disclaimer of Liability must be signed and dated by the student’s parents or guardians:
THE STUDENT, IN ATTENDING THE SERGEI KITAEV WRESTLING IN PRACTICE AND IN PARTICIPATING IN COMPETITIONS, DOES SO AT HIS/HER OWN RISK. SERGEI KITAEV WRESTLING, ANDREW LEGG, BRETT SHAUT, ANY GUEST COACH, WORTHINGTON KILBOURNE H.S., OR WORTHINGTON CITY SCHOOLS SHALL NOT BE LIABLE FOR ANY INJURY OR DAMAGES SUSTAINED BY THE STUDENT DURING WORKOUT SES-SIONS OR OTHERWISE AT OR AROUND THE FACILITIES OR ARISING DURING, AT OR WITH RESPECT TO ANY COMPEITION. THE STUDENT AND HIS PARENTS/GUARDIANS ASSUME FULL RESPONSIBILITY FOR ANY SUCH DAMAGES OR INJURIES AND SO HEREBY FULLY AND FOREVER RE-LEASE, EXONERATE AND DISCHARGE SERGEI KITAEV, ANDREW LEGG, ANY COACHES AND WOLVES WRESTLING CLUB, WORTHINGTON KIL-BOURNE H.S., OR WORTHINGTON CITY SCHOOLS FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION, PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN, ANTICIPATED, OR UNANTICIPATED, RESULTING FROM OR ARISING OUT OF ANY OF THE FOREGOING.
Signature of Parent of Guardian _________________________________ Date ___________