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Saluki Baseball Prospect Camp

Sunday, October 22, 2017 SCHEDULE

REGISTRATION FORM

18W0200701

Name: Address: City/state/ZIP:

This camp will be held at the Richard “Itchy” Jones Stadium at SIU Carbondale on Sunday, October 22, 2017. A medical release form needs to be signed by a parent/ guardian and returned with the registration form. The form is accessible online at conferenceservices.siu.edu under the “Forms” tab.

Phone: Email: School: Graduation year:

T-shirt size (adult sizes):

8 a.m.

Check-In Richard “Itchy” Jones Stadium

9 a.m.

Skill instructions Player evaluations

11:30 a.m.

Lunch on your own

12:30-4:30 p.m.

Games

Program information:

Primary position:

Contact the SIU baseball staff at 618/453-2802.

Secondary position: Medical concerns:

Cancellation/refund policy: The registration fee, minus a $15 cancellation fee, will be refunded if you cancel by October 13. No refunds after October 13.

Registration information: Fee:

$100

Registration is limited to 80 participants.

Check payable to SIU Carbondale I am paying by credit card:

AMOUNT ENCLOSED $

Visa

MasterCard

Discover

Account No.:

__________________________________________________

Exp. date:

___________

Name on card:

__________________________________________________

Billing address:

__________________________________________________

Email address:

__________________________________________________

Contact Conference and Scheduling Services at 618/536-7751 or register online at conferenceservices.siu.edu. Return with payment to:

CVC:

Conference & Scheduling Services Student Center – Mail Code 6705 Southern Illinois University 1255 Lincoln Drive Carbondale, IL 62901

HIGH SCHOOL STUDENTS ONLY Open to any and all entrants (limited only by number, age, grade level and/or gender)

SALUKI BASEBALL PROSPECT CAMP October 22, 2017

Non-Profit Org. U.S. Postage PAID Permit No. 15 Carbondale, IL

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