Insurance And Liability Waiver Consent Form Page 3

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Aggie Softball Camp
Check-in INFO:
Camp Includes:
Check in will begin at 8:30 a.m.
Division I Coaches
on September 25, 2010 at the
Position training
LaRee & LeGrand Johnson
Competitive Environment
Softball Complex at Utah State
Tactical & Technical Training
University. Each player is re-
Excellent coach to player ratio
quired to bring their own gear.
REGISTRATION FORM
USU SOFTBALL CAMP 2010:
Each player attending needs to fill out the following registration form.
First: ____________________________ Last: ______________________
Age: __________
Position: Primary Pos.:_______________ Secondary Pos.:________________
Address: _____________________________________________________
City: ____________________ State: _____________________ Zip: _____________________
Phone: ________________________ Email: ________________________________
Emergency Contact Number: ________________________________ Relation: _________________
REGISTRATION FEES: Save $20 with pre-registration!
Cancellation Policy:
$50 – Early Pre-Registration: Before September 11th.
A written cancellation must be post
marked two weeks prior to camp in
order to receive a refund less a $25
$60 – Pre-Registration: September 12th - September 24th.
processing fee. No refunds will be given
after the cancellation date. Substitutions
$70 – Day of Registration: September 25th.
will be accepted with advance notice.
Utah State reserves the right to cancel
this program due to insufficient enroll-
ment and limits liability to registration
T-shirt Size: (Please Circle one)
fee refunds only.
A-S
A-M
A-L
A-XL
You must bring the following forms to camp with the appropriate signatures:
Insurance and Liability Waiver, Completed Camp Informed Consent & Permission to Participate
Form
MAIL Registration To:
Utah State University
Method of Payment:
Attn: Aggie Softball Camp
Check enclosed made payable to: “USU Softball - Carissa Kalaba”
7400 Old Main Hill
Please charge my credit card:
Logan, UT 84322
Visa MasterCard Diners Club Discover
AMEX
OR
Fax registration to:
Card Number: ________________________________
435-797-9138
Name on Card: _______________________________
Signature: _______________________________Exp. Date_____________

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