2010 Blue Chip FastPitch Softball Camp

2010 Registration

Player Name:
Primary Position:
Secondary Position:
Bat:
Throw:
Height:	Ft. In.
Date of Birth: (mm/dd/yyyy)	/ /
Age:
High School:
Grade (Fall 2010):
GPA
ACT Score (if taken):
SAT Score (if taken):
H.S. Coach Name:
H.S. Coach Phone:	() -
Game T-Shirt Size:
Parent's Name(s):
Address:
City:
State:
Zip
Home Phone:	() -
Work Phone:	() -
Email Address:
Parent(s) Occupation (optional)
Commuter Player $205 Includes all camp workout sessions and games during camp. Also includes lunch.
Overnight Player $350.00 Includes all camp workout sessions and games during camp. Also includes hotel accommodations, all meals and transportation to and from fields every day.
Late registrations (after July 1^st) will be subject to an additional $ 10.00 handling fee.
Please make check or money order payable to Blue Chip FastPitch and mail to Vernon Bibb 11406 Nez Perce Way Louisville, KY 40229
I understand that checking this box constitutes my legal signature agreeing that I am a parent or legal guardian (as listed above) of this player.
I hereby authorize Blue Chip Fastpitch Softball Camp to act for me, or my player, guest or licensee, or any of them, in an emergency. I hereby waive and release Blue Chip Fastpitch Softball Camp, Meade-Olin Park, City of Brandenburg, any Blue Chip Staff members (and schools they may represent) and sponsors of Blue Chip Fastpitch Softball camp from any liability sustained while I or my daughter are in attendance at Blue Chip Fastpitch Softball Camp.
Press Submit or print and mail to the above address
Please sign and date below for mailed registrations.
Signature:	_______________________________________
Date:	_______________________________________