Softball Camp

Camp

Full Name (required) – Please enter your first and last name

Mailing Address (required) – Enter the address where you receive your mail

City (required)

State (required)

Zip code (required)

Home phone

Email address (required) – Enter a valid email address so the Coach can contact you

Date of birth (required)




Year of graduation (required) – Select the year you will graduate from high school

Favorite position (required)

T-shirt size:

Parents’ names – Please enter the names of your parents

Emergency contact name – Please enter the name of someone to contact in case of emergency (required)

Emergency contact phone – Please enter the phone number of your emergency contact (required)


 I acknowledge that I have read and understood the statement below, and I further understand that I will be required to complete and sign this form when we come for the Softball Camp:

I, ________________________________________________________ (parent sign if child is under the age of 18), consent to allow any pictures taken by Faulkner State Community College of my child/dependent to be used for publicity purposes and/or newspaper stories. These pictures include those taken at the Softball Camp, located on Faulkner State’s Bay Minette Campus.

Parent/Guardian

Sign ______________________________________________________________ Date __________________________

Printed name _______________________________________________________

Child’s name _______________________________________________________ Age __________