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INDIANA SOFTBALL CAMPS

Jan. 21, Mellencamp Indoor Pavilion
at Indiana University

CAMP COSTS

$50*

CAMP DETAILS

- Open to Girls in Grades K-6
- Camp runs from 1:30-3:30 p.m.

FOR REGISTRATION INFORMATION:

E-Mail: Click Here!
Register On-Line: Now Available!
Directions: Andy Mohr Field Directions


* Add 6% for on-line registrations

All Indiana Camps are open to all and any entrants

2019 Little Hoosiers Camp

LITTLE HOOSIERS CAMP REGISTRATION - JANUARY 21, 2019

Registration Note - Registrations will be accepted until the camp is full. No refunds will be issued, but a credit can be applied to a future Indiana Softball Clinic. No refunds or credits if notice of cancellation is not provided prior to the start of camp.

Please complete the form below and submit camp payment.

 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone #*
 
Parent/Guardian Name(s)*
 
Mother's Cell Phone #
 
Father's Cell Phone #
 
Parent's E-Mail Address*
 
Age*
 
Grade*
 
T-Shirt Size*
 Y-S
 Y-M
 Y-L
 S
 M
 L
 XL
 XXL
 
Camper's School*
 

MEDICAL 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.
 
Name of Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any additional or relevant medical information we should know?
 

* I grant permission to the Directors, Assistants or other persons responsible for my minor’s care to act on my behalf as said minor’s parent/legal guardian 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 the telephone number listed on the registration form. In the event that I cannot be reached, I hereby give my 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.  

* Waiver: In consideration of being allowed to participate in the Indiana Softball Camps, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Indiana Softball Camps, W.I.N. the Day Softball LLC, Forward Marketing LLC, its officers, employees and agents for liability from any and all claims including the negligence of the Indiana Softball Camp, W.I.N. the Day Softball LLC, 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 Indiana Softball Camps.  

* By my submission of this registration, I represent that I am either 18 years of age or older, or that I am the parent or legal guardian of the registrant (if he/she is under age 18). I represent I have read the terms of the Privacy Policy, that I understand the manner in which the information collected about the registrant may be used, and that I agree to the use of the registrant’s personally identifiable information in the manner described in the Privacy Policy.  

Parent/Guardian Name*
 
Date*
 

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 Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if any of the Indiana Softball Camps are canceled for any reason, refunds must be collected directly from Indiana Softball Camp.
 
Qty 
 $53.00 Individual Registration - Payment in Full