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COST $40 – PRE-REGISTRATION (PRIOR TO 12/30/12) $50 – REGISTRATION AT THE DOOR $15 SAVINGS FROM PREVIOUS YEAR!!! EACH CAMPER RECEIVES SMALL GROUP INSTRUCTION COME JOIN US FOR A FUN, INSTRUCTIONAL SOFTBALL EXPERIENCE $40 PRE-REGISTRATION $50 AFTER 12/30/12 FOR GRADES 3-8 SUNDAY 1/6/13 SUNDAY 1/13/13 SUNDAY 1/20/13 CAMP T-SHIRT SKILLS CONTESTS CHECKS PAYABLE TO : DOOR PRIZE ENTRY FAIRMONT SOFTBALL BOB FRANZ FAIRMONT ATHLETICS 3301 SHROYER RD. KETTERING OHIO 45429 EMAIL COACH FRANZ FOR MORE INFORMATION [email protected] SESSION TIME IS 2:00 – 4:00 PLAYERS SHOULD BRING THEIR OWN BAT AND GLOVE REGISTRATION FORM NAME:__________________________________________________________ ADDRESS________________________________________________________ CITY:____________________________STATE__________ZIP______________ SCHOOL CURRENTLY ATTENDING_____________________________GRADE_______ INSTRUCTORS: $40 PRE-REGISTRATION: CHECKS PAYABLE TO : FAIRMONT SOFTBALL FHS COACHING STAFF: T-SHIRT SIZE YM YL AS AM AL AXL 2XL (CIRCLE 1) BOB FRANZ CHELSEA VANHORN I (PARENT/GUARDIAN)____________________________________GIVE MY PERMISSION FOR (CAMPER) _______________________________________ TO ATTEND THE FAIRMONT SOFTBALL CAMP. I HAVE ADEQUATE MEDICAL INSURANCE AND AGREE NOT TO HOLD KETTERING CITY SCHOOLS, ITS ADMINISTRATORS, COACHES, STUDENTS AND OTHER CAMP PERSONNEL LIABLE FOR ANY INJURIES RELATED TO THIS CAMP EMERGENCY CONTACT INFORMATION BRIAN TOOKER KATRINA WILBUR TOM SWANDER SCOTT HERMAN AMY JONES NAME:_________________________________NUMBER__________________ MEGHAN MCVICAR NAME__________________________________NUMBER__________________ NIKKI FRANZ PREFERRED HOSPITAL____________________________________________ COURTNEY TRIMBLE DOCTOR____________________________DENTIST______________________ & CURRENT FHS PLAYERS