Ohio Clinic of Champions at Lebanon High School
Featuring Lincoln McIlravy and Mark Marinelli

Date: September 29, 2007

Location: Lebanon High School
1916 Drake Road, Lebanon, Ohio 45036

Times: Approximately 9:00 a.m. to 4:30 p.m.

Cost: $50 if Pre-Registered (Includes CoC T-Shirt and Lunch)
$40 at Registration (Does not include T-Shirt or Lunch)

*Clinic of Champions T-Shirts will be for sale.
**Pre-Registration Deadline is Friday, September 21, 2007.

Contact
Aaron Gibson - Head Coach at Lebanon High School
Phone: (513) 934-5150
Email: gibson.aaron@lebanon.k12.oh.us

Schedule
8:00-8:45 - Registration
9:00-11:30 - Instruction by Lincoln McIlravy
11:30-12:30 - Lunch (provided if Pre-Registered)
12:30-1:30 - Instruction by Mark Marinelli
1:30-1:45 - Short Break
1:45-4:15 - Instruction by Lincoln McIlravy
4:15-4:45 - Motivational message by Lincoln McIlravy

Lincoln McIlravy
5x South Dakota High School State Champion
3x NCAA Champion at the University of Iowa
4x U.S. National Champion in Freestyle
3x World Cup Champion
1998 World Bronze Medalist
1998 Goodwill Games Champion
1999 World Silver Medalist
1999 Pan-Am Games Champion
2000 Olympic Bronze Medalist

Mark Marinelli
Ohio High School State Champion
USAW Junior National All-American
2x NCAA All-American at The Ohio State University
3x Team Captain at The Ohio State University
Coach at Olentangy Liberty HS, formerly Columbus DeSales HS
10 OHSAA State Champions and 25 State Placers
10x Top ten team finish at the State Tournament
2x State Runner-up as a Team
10x District Champions as a Team
40 Individual District Champions

Clinic of Champions Registration Form

Mail to:
Lebanon High School
Attn: Aaron Gibson, Head Wrestling Coach
1916 Drake Rd
Lebanon, Ohio 45036
 
Name: ________________________________________________________________
 
Street: ________________________________________________________________
 
City: _________________________________ State: _________ Zip: _____________
 
Home Phone: __________________________________________________________
 
Work Phone: ___________________________________________________________
 
Cell Phone: ____________________________________________________________
 
School/Club: ___________________________________________________________
 
Date of Birth: ________________________ Years Wrestled: ___________________

Age: _______________ Height: _________________ Weight: __________________

Circle Shirt Size  -   Youth:  M  L   -   Adult:  S  M  L  XL  XXL

I hereby authorize the staff of Lebanon High School and it’s members to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release Lebanon High School and the staff of the Lincoln McIlravy Ohio Clinic of Champions from any and all liability for any injuries or illness incurred while at the Lebanon High School Ohio Clinic of Champions.
 
Parent or Guardian Signature: ____________________________________________
 
Family Insurance Policy Number: _________________________________________
 
Special Notice to Medical Alerts: __________________________________________

Checks should be made payable to Lebanon High School Athletic Boosters with the amount of $50.00 or $40.00 depending upon the time of registration. Enrollment is guaranteed only upon receipt of deposit and by availability of space. We have a large gymnasium but we expect a large turnout as well, so send your deposits as soon as possible. Often there are still openings after the deadline. The earlier you get your registration in, the better we can accommodate you.