Registration, Cost, and Accommodations Equipment Facilities ...
Portland State Softball Pitching Camp Registration, Cost, and Accommodations Participants will be responsible for their lodging accommodations and meals during camp. Registration will be accepted until clinics are full. No refunds will be made for cancellations unless an emergency situation arises. Portland State University is not responsible for costs incurred due to cancellations.
Equipment Each camper should wear comfortable work-out clothing (t-shirts, shorts, etc.) for each session. Additionally, campers should bring a glove and tennis shoes (no cleats are allowed in the facility). Any additional equipment (bats and helmets) is encouraged, but PSU will supply all necessary equipment for the clinic.
Medical Release Campers Name: __________________________ Phone: (
)___________Cell:_______________
Address_________________________________ Medical Insurance Company________________
Facilities The Portland State Softball Hitting camp will be held on the PSU campus at the Peter R. Stott Center. Campus Map: www.pdx.edu/map.html
Insurance Policy # ________________________ Group # __________
ID #__________________
I hereby authorize my child’s participation in the Portland State Softball Pitching Camp. I know of no mental or physical problems which may affect my child’s ability to safely participate. The camp staff is authorized to attend to any health problem or injury that may occur while attending camp. I understand that my child must have current and active medical insurance before they can attend camp. Neither I nor my child will hold Portland State Softball Pitching Camp liable for any injuries or expenses relating to injuries while my child is at camp. __________________________________________________
Signature of Parent or Guardian:____________________ Date:______________
Megan Miller Assistant Softball Coach -Ohio State
2011 PSU Softball Pitching Clinic All information on this form must be completed in order to guarantee a place in the clinic. Name __________________________________________ Address_________________________________________ City_________________ State_______ Zip_________
Subscribers name_________________________
Mark all individual equipment so it can be easily identified.
Registration Form
Duplicate this application as needed and return to: Kellyn Tate, Asst. Softball Coach Portland State University P.O. Box 751 Portland, OR 97201
Contact Phone (_____) ______________________________ E-mail__________________________________________ Summer Team______________________________________ Age _______Year of High School Graduation ______________ Session & Fees:
PLEASE ONLY SIGN UP FOR ONE SESSION If postmarked by postmarked (before Aug.26, 2011) $25 ____Session 1 ____ Session 2 Registration Day of Camp Sept.1, 2011 $30 ____Session 1 ____Session 2
*Prices above are per person Team discount for 4 (before Aug. 26, 2011) Team $75 ____Session 1 ____Session 2 *Team Name________________ Registration Day of Camp Sept.1, 2011 Team $90 ____Session 1 ____Session 2 *Team Name________________ **Registrations Must Be Sent In Together** Payment Method Send check or money order payable to Portland State Softball Camps or charge to (check one): *Credit cards will be charged a $5 processing fee. □ Master Card □Visa Account Number _________________________________ Expiration Date _____________ Authorized Signature______________________________
For More Information, Contact: Kellyn Tate, Assistant Softball Coach Phone: (503) 725-4400 Fax: (503) 725-8985 E-mail: [email protected] Web: www.goviks.com .
Total Enclosed $ _________________________ Duplicate this application as needed and return to: Kellyn Tate, Asst. Softball Coach Portland State University P.O. Box 751
Portland State Softball
Portland State Softball Camps P.O. Box 751 Portland, OR 97207
2011 VIKINGS SOFTBALL PITCHING CAMP Sept. 1, 2011 Thursday Ages 8-17 Session 1 10:00am –12:00pm Session 2 1:00pm-3:00pm Camp is open to all entrants. Each session has limited spots. Please only sign up for one session. MUST BRING CATCHER
Peter W. Stott Center
Portland State Softball 2011
VIKINGS PITCHING CAMP
Equipment Each camper should wear comfortable work-out clothing (t-shirts, shorts, etc.) for each session. Additionally, campers should bring a glove and tennis shoes (no cleats are allowed in the facility). Any additional equipment (bats and helmets) is encouraged, but PSU will supply all necessary equipment for the clinic.
Medical Release Campers Name: __________________________ Phone: (
)___________Cell:_______________
Address_________________________________ Medical Insurance Company________________
Facilities The Portland State Softball Hitting camp will be held on the PSU campus at the Peter R. Stott Center. Campus Map: www.pdx.edu/map.html
Insurance Policy # ________________________ Group # __________
ID #__________________
I hereby authorize my child’s participation in the Portland State Softball Pitching Camp. I know of no mental or physical problems which may affect my child’s ability to safely participate. The camp staff is authorized to attend to any health problem or injury that may occur while attending camp. I understand that my child must have current and active medical insurance before they can attend camp. Neither I nor my child will hold Portland State Softball Pitching Camp liable for any injuries or expenses relating to injuries while my child is at camp. __________________________________________________
Signature of Parent or Guardian:____________________ Date:______________
Megan Miller Assistant Softball Coach -Ohio State
2011 PSU Softball Pitching Clinic All information on this form must be completed in order to guarantee a place in the clinic. Name __________________________________________ Address_________________________________________ City_________________ State_______ Zip_________
Subscribers name_________________________
Mark all individual equipment so it can be easily identified.
Registration Form
Duplicate this application as needed and return to: Kellyn Tate, Asst. Softball Coach Portland State University P.O. Box 751 Portland, OR 97201
Contact Phone (_____) ______________________________ E-mail__________________________________________ Summer Team______________________________________ Age _______Year of High School Graduation ______________ Session & Fees:
PLEASE ONLY SIGN UP FOR ONE SESSION If postmarked by postmarked (before Aug.26, 2011) $25 ____Session 1 ____ Session 2 Registration Day of Camp Sept.1, 2011 $30 ____Session 1 ____Session 2
*Prices above are per person Team discount for 4 (before Aug. 26, 2011) Team $75 ____Session 1 ____Session 2 *Team Name________________ Registration Day of Camp Sept.1, 2011 Team $90 ____Session 1 ____Session 2 *Team Name________________ **Registrations Must Be Sent In Together** Payment Method Send check or money order payable to Portland State Softball Camps or charge to (check one): *Credit cards will be charged a $5 processing fee. □ Master Card □Visa Account Number _________________________________ Expiration Date _____________ Authorized Signature______________________________
For More Information, Contact: Kellyn Tate, Assistant Softball Coach Phone: (503) 725-4400 Fax: (503) 725-8985 E-mail: [email protected] Web: www.goviks.com .
Total Enclosed $ _________________________ Duplicate this application as needed and return to: Kellyn Tate, Asst. Softball Coach Portland State University P.O. Box 751
Portland State Softball
Portland State Softball Camps P.O. Box 751 Portland, OR 97207
2011 VIKINGS SOFTBALL PITCHING CAMP Sept. 1, 2011 Thursday Ages 8-17 Session 1 10:00am –12:00pm Session 2 1:00pm-3:00pm Camp is open to all entrants. Each session has limited spots. Please only sign up for one session. MUST BRING CATCHER
Peter W. Stott Center
Portland State Softball 2011
VIKINGS PITCHING CAMP
