Post by CEZAR on Nov 20, 2013 9:31:05 GMT -6
Banditfest Powered by Total Control Sports,, be sure to tell ILSOFTBALL.COM sent you
PRESENTS
OnDeck Softball and Futures Fastpitch Clinic
REGISTRATION FORM
January 2, 2014 at the Dome at the Ball Park, 34 Jennie Finch Way, Rosemont, IL 60018
(located at the corners of Bryn Mawr and Pearl St.)
VIP: Please indicate which session you are registering for:
_____ Session 1: 8:00 a.m. - 11:30 a.m.
_____ Session 2: 1:00 p.m. – 4:30 p.m.
Your Name: _________________________________
Date of Birth: _____/______/_______ Email: ________________________________________
Home Phone: _______________________ Cell Phone: ____________________________
Home Address: ______________________________________
City: ___________________________ State: _______ Zip: ____________
Defensive Positions (circle the positions you play): P C 1B 2B 3B SS RF CF LF
Bats (circle one): R L SW SLAP Throws: R L
Grade/School: _________________________________________
I, the parent/legal guardian of the athlete registered herein, grant permission and authorization for statistics,
data, testing results, personal information, photographs, auto and video materials related to this Exposure
Camp to be released (and possibly posted electronically) to coaches, scouting organizations, media outlets, team
physicians, athletic trainers, partner entities, administrative personnel and possibly the general public. I also
understand that the data, information, photographs, audio and video materials are and will remain property of
William A. Conroy, Chicago Bandits LLC, Beverly Bandits Softball, Inc. and OnDeck Softball.
Parent/Guardian Signature: ___________________________________ Date: _____/______/________
Emergency phone number, if needed: _____________________________
Make sure you enclose a CHECK for $60 made payable to SSGS and mail with this form to:
Bill Conroy
10908 Lakeside Dr.
Orland Park, IL 60467
BE SURE TO COMPLETE AND SUBMIT WAIVER AND RELEASE FORM WITH YOUR REGISTRATION FORM
PRESENTS
OnDeck Softball and Futures Fastpitch Clinic
REGISTRATION FORM
January 2, 2014 at the Dome at the Ball Park, 34 Jennie Finch Way, Rosemont, IL 60018
(located at the corners of Bryn Mawr and Pearl St.)
VIP: Please indicate which session you are registering for:
_____ Session 1: 8:00 a.m. - 11:30 a.m.
_____ Session 2: 1:00 p.m. – 4:30 p.m.
Your Name: _________________________________
Date of Birth: _____/______/_______ Email: ________________________________________
Home Phone: _______________________ Cell Phone: ____________________________
Home Address: ______________________________________
City: ___________________________ State: _______ Zip: ____________
Defensive Positions (circle the positions you play): P C 1B 2B 3B SS RF CF LF
Bats (circle one): R L SW SLAP Throws: R L
Grade/School: _________________________________________
I, the parent/legal guardian of the athlete registered herein, grant permission and authorization for statistics,
data, testing results, personal information, photographs, auto and video materials related to this Exposure
Camp to be released (and possibly posted electronically) to coaches, scouting organizations, media outlets, team
physicians, athletic trainers, partner entities, administrative personnel and possibly the general public. I also
understand that the data, information, photographs, audio and video materials are and will remain property of
William A. Conroy, Chicago Bandits LLC, Beverly Bandits Softball, Inc. and OnDeck Softball.
Parent/Guardian Signature: ___________________________________ Date: _____/______/________
Emergency phone number, if needed: _____________________________
Make sure you enclose a CHECK for $60 made payable to SSGS and mail with this form to:
Bill Conroy
10908 Lakeside Dr.
Orland Park, IL 60467
BE SURE TO COMPLETE AND SUBMIT WAIVER AND RELEASE FORM WITH YOUR REGISTRATION FORM