Fax this form to 618 262 8841 attn Paul Schnarre or email to schnarrep@iecc.edu                             

ILLINOIS EASTERN COMMUNITY COLLEGES

WABASH VALLEY COLLEGE

Softball Camp Information

Dates: February 20 – February 21, 2010 Ages: Girls 7-17

Location: Wabash Valley College Spencer Sports Center Gym

Times: Saturday, February 20 (9 - 11 a.m.) Hitting and Fielding

Sunday, February 21 (1 - 3 p.m.) Hitting and Fielding

Saturday, February 20 (11 a.m. - 12 noon) Pitching

Sunday, February 21 (3 - 4 p.m.) Pitching

Cost: $30.00 for one day of Hitting and Fielding

$50.00 for two days of Hitting and Fielding

$50.00 for one day of Hitting, Fielding and Pitching

$70.00 for two days of Hitting, Fielding and Pitching

Equipment: Tennis Shoes & Glove (bats optional)

Send Payment and Registration to:

Wabash Valley College Softball

2200 College Drive

Mt. Carmel, IL 62863

Phone: 618/262-8641, ext. 3394

Registration deadline for T-Shirt – February 12, 2010

We will have the concession stand open for campers to get drinks and snacks

ILLINOIS EASTERN COMMUNITY COLLEGES

WABASH VALLEY COLLEGE

Softball Camp

Registration / Parent Permission / Waiver Form

Name: Age:

(Camper’s Name)

Address:

Registration deadline for T-Shirt – February 12, 2010

Phone (_____) Adult T-Shirt Size – S M L XL

Child T-Shirt Size -- S M

Please mark your camp day choice/s below:

$30.00 for one day of Hitting and Fielding (Saturday)

$30.00 for one day of Hitting and Fielding (Sunday)

$50.00 for two days of Hitting and Fielding (Saturday & Sunday)

$50.00 for one day of Hitting, Fielding and Pitching (Saturday)

$50.00 for one day of Hitting, Fielding and Pitching (Sunday)

$70.00 for two days of Hitting, Fielding and Pitching (Saturday & Sunday)

I understand that neither, WABASH VALLEY COLLEGE, the DIRECTORS, the COACHES, COMMUNITY COLLEGE DISTRICT 529, nor anyone connected with the Camp will assume any responsibility for medical, dental, or other expense incurred as a result of any course instruction given by the camp staff. Further, I hereby waive any and all claims, or right to claims, and agree to hold harmless WABASH VALLEY COLLEGE, the DIRECTORS, the COACHES, COMMUNITY COLLEGE DISTRICT 529, or anyone connected with the Camp, for any accident or injury incurred as a result of participating in the camp. I further state that the Camper has insurance coverage, which is provided by the insurance carrier listed below:

Insurance Company Policy/Group #

Emergency Contact Person

Emergency Home Phone Emergency Work Phone

Parent/Guardian Signature ______________________________________________ _

Date _______________________ Relationship to Child ________________________