2010 INDIANA SOFTBALL CAMPS

December 18, 2010, Bloomington, Indiana
at Mellencamp Pavilion on IU campus

CAMP COSTS

$150.00 Individual Rate*
$125.00 Group Discount Rate*

* Group rate can be used if registering four or more. 

CAMP DETAILS

- T-Shirt Included with each registration!

- Open to any and all entrants 10 years of age and older

- Registration - 8:30 a.m., Mellencamp Pavilion

- 9 a.m. - 12 p.m. - Morning Session/Specialty Skills

- 12 p.m. - 1 p.m. - Lunch

- 1-4 p.m. - Afternoon Session/Station Work and Game Situations

FACILITY and DIRECTIONS


We will use the John Mellencamp Pavilion, an indoor 100-yard turf arena. Mellencamp is just south of 45/46 and is located in the same area as Memorial Stadium and Assembly Hall.  


FOR REGISTRATION INFORMATION:

E-Mail: Click Here!
Register On-Line: Now available!
Holiday Camp Brochure: Click Here!
Summer Camp Brochure: Click Here!

TO CONTACT THE IU SOFTBALL STAFF:

E-Mail: cjhebert@indiana.edu
Mail Questions To:
Indiana Softball Camp
Athletic Dept., Indiana University
1001 East 17th Street
Bloomington, IN 47408



Add 6% for on-line registrations

Sibling and team discounts available. View individual camp registration pages for additional information

All IU Camps are open to all and any entrants

INDIANA SOFTBALL HOLIDAY SKILLS CAMP REGISTRATION - DECEMBER 18, 2010

Registration Note - Registrations will be accepted until the camp is full. No refunds or cancellations will be accepted.

If you have questions, please e-mail cjhebert@indiana.edu.

Please complete the form below and submit camp payment.

 
Camper's Name (Last, First)*
 
Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name*
 
Camper's Home Phone*
 
Father's Cell
 
Father's Work Phone
 
Mother's Cell
 
Mother's Work Phone
 
Parent's E-Mail Address*
 
Name and # to call if parent can't be reached
 
T-Shirt Size (adult sizes)*
 S
 M
 L
 XL
 XXL
 
Age*
 
Birthdate (Month/Day/Year)*
 
Grade Entering (as of Sept. '10)*
 
Camper's School*
 
Travel Team
 
Position
 

MEDICAL/PARENTAL CONSENT FORM
In order to enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your minor daughter, we must have a completed Medical Consent Form on file with your application. This way, we can help your child without delay in an emergency.
 
Camper's Name (Last, First)
 
Insurance Company*
 
Policy Number/Group #*
 
Insurance Company Phone
 
Drug/Allergic Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid*
 
Any past illness or other information that would be useful in the event of medical treatment
 

 I grant permission to the Directors, Assistants, or other persons responsible for her care to act on my behalf of said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone, In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse, OR  

 I authorize limited care as follows  
Limited Care Notes
 

* Waiver: In consideration of being allowed to participate in the IU Softball Camps, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Indiana Softball Camps, Forward Marketing LLC, its officers, employees and agents for liability from any and all claims including the negligence of the IU Softball Camp, Forward Marketing LLC, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the IU Softball Camps.  

Parent/Guardian Name*
 


PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Forward Marketing will appear on your credit card for your on-line registration. However, if any of the IU Softball Camps are cancelled for any reason, refunds must be collected directly from the IU Softball Camp, 1001 E. 17th Street, Bloomington, IN 47408.
 
Qty 
 $133.00 2010 IU Softball Holiday Skills Camp - Group Rate (note: Four or more registrations required for group discount rate)

 $159.00 2010 IU Softball Holiday Skills Camp - Individual Rate