Lady Bears Softball Camp Registration

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ZIP Code *

Email address *

Cell Phone Number *

City *

Address 1 *

Last name *

State *

First name *

Travel Ball Team *

Date of Birth *

Weight *

ACT/SAT *

School GPA *

Height: *

High School Graduation Year: *

High School *

Coach's Name *

Coach's Phone Number

Positions *

List all Positions You Play

Planned College Major *

Do you have Medical Insurance? *

Yes No

Who is your medical coverage through? *

Parents Travel Ball Affiliation,ASA,USFA,etc Other

By Registering for this camp,I understand, accept and assume the risks involved in doing so and attest I have proper insurance coverage in case of an injury. *

I understand and assume responsibility

* required field