2019 Fall Prospect Cobra Camp
Fastpitchhuddle.com presents a Paulson Fastpitch Camp in Association with Parkland Cobra Softball

Please fill out all information, if you have any questions please email: snolte@parkland.edu. For any question that you do not have an answer for, please put N/A. If form was submitted you will get a confirmation. There are two pages. The second page is RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT and a place for the parent to type their name with a date. This serves as your signature.

Camp Fee is $70 payable at the day of camp for Prospect Camp; $40 for Pitching / Catching Camp; Both for $100.

Camp Date: Sunday, September 29, 2019
Instruction is given by Parkland Cobra Coaching Staff, Players and Former Players
Players are to bring their own gear -- gloves, helmets, bats. tennis shoes and cleats. Please wear softball pants.

Parkland College Field Directions: 2400 West Bradley Avenue Champaign, IL 61821

Any questions please email Shelli Nolte at snolte@parkland.edu

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Player First Name:
Your answer
Player Last Name:
Your answer
Graduation Date
Please select the year you will graduate from High School.
Date of Birth
Make sure it is correct!
MM
/
DD
/
YYYY
Contact Email Address *
Person's Email Address (parent) who is filling out questionnaire. Must be a valid email address
Your answer
Address:
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City:
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State:
Zip Code:
Your answer
School:
Your answer
Mother's Name:
Your answer
Mother's Cell:
XXX-XXX-XXXX
Your answer
Mother's Email:
Your answer
Father's Name:
Your answer
Father's Cell:
XXX-XXX-XXXX
Your answer
Father's Email:
Your answer
Current Travel Team:
Your answer
Current Coach:
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High School / Junior High School
Please enter the name of your school.
Your answer
Position
Current HS Coach:
Your answer
T-shirt Size
Which Camp will you attend?
Payable the day of camp -- checks made payable to Parkland Cobra Softball. We are unable to accept credit cards at this time.
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