3Longwood University Baseball Prospect Camp
Longwood University Baseball Hitting/Fielding Camp Ages 13 and up
October 20th, 2012 Charles Buddy Bolding Stadium Longwood University 201 High Street Farmville, VA 23909 $150 Registration Fee
Hitting/Pitching Skill Work (9am-3pm) *Registration begins half hour before start of Camp Primary Contact: Jon Benick at 434.395.2351 or email: [email protected] Brian McCullough at 434.395.2843 or email: [email protected] Name: __________________________________
School: _________________________________
High School Head Coach Number: __________________________________ Primary Position: __________Bat (L/R): ____ Throw (L/R): ____ Home phone number: ____________________
Graduation year: ___________
Cell phone number: _____________________
Email address: ____________________________________________________________________________ Home address: ____________________________________________________________________________ • •
Please make checks payable to Longwood Baseball Attached is a medical release form and insurance form. Please fill them out and mail with this form. Clinic will be limited to a set number of participants, so please return form early. Open to all entrants and only limited by age restraint.
• • Mail registration forms to:
Brian McCullough Baseball Office Longwood University 201 High Street Farmville, VA 23909
October 20th, 2012 Charles Buddy Bolding Stadium Longwood University 201 High Street Farmville, VA 23909 $150 Registration Fee
Hitting/Pitching Skill Work (9am-3pm) *Registration begins half hour before start of Camp Primary Contact: Jon Benick at 434.395.2351 or email: [email protected] Brian McCullough at 434.395.2843 or email: [email protected] Name: __________________________________
School: _________________________________
High School Head Coach Number: __________________________________ Primary Position: __________Bat (L/R): ____ Throw (L/R): ____ Home phone number: ____________________
Graduation year: ___________
Cell phone number: _____________________
Email address: ____________________________________________________________________________ Home address: ____________________________________________________________________________ • •
Please make checks payable to Longwood Baseball Attached is a medical release form and insurance form. Please fill them out and mail with this form. Clinic will be limited to a set number of participants, so please return form early. Open to all entrants and only limited by age restraint.
• • Mail registration forms to:
Brian McCullough Baseball Office Longwood University 201 High Street Farmville, VA 23909
