October 29th 2016 Time 1:00‐5:00 Cost: $100 Includes camp T‐Shirt Check in 12:15‐12:50 Players will need to bring all necessary equipment: Cleats Catchers Gear Gloves Bats Helmets Location SWOSU Softball Complex
1998 ISF World Champion 1995 Pan American Gold Medalist 2006‐2013 Purdue University Head Coach 2000‐2005 University of California Berkeley Asst.
Southwestern Oklahoma State University Softball ID Camp Registration Form (Please submit with your payment)
Name:______________________________ Primary Position:________________ Date of Birth: ____/____/_____ Age:________ Grad Yr:_______GPA:_________ ACT/SAT:___________ NCAA Clearinghouse ID #:________________________ Address:___________________________________________________________ __________________________________________________________________ Phone Number:_____________________________________________________ Email Address:______________________________________________________ Emergency Contact Name:_________________________ Phone:_____________ High School:_______________________________________________________ Coaches Name:______________________________Phone:_________________ Travel Team Name: __________________________________________________ Coaches Name:______________________________ Phone:__________________ The undersigned parent or guardian of the participant herein agrees that camp staff may render first aid in the event of emergency illness or accident or that a licensed MD and/or EMT shall be authorized to administer treatment deemed necessary for the participant. In applying for acceptance, I waive and release all rights and claims for any damage against the camp and its representatives and give my child permission to participate in this camp. Please sign below hereby agreeing to the conditions stated above. Parent or Guardian Signature
_______________________________________________________ If you have any questions, please contact: Kim Maher SWOSU Softball 580‐774‐7178
[email protected] To reserve your spot send payment and form to: SWOSU Softball Kim Maher 100 Campus Drive Weatherford, Ok 73096 Make checks payable to: Kim Maher/SWOSU Softball