A l v i n Insurance Release Form Applications will not be accepted without completion of this portion of the application . Yellowjacket I, the undersigned, as the parent or legal guardian of 2 0 18 the minor child, hereby acknowledge that the above named child is covered by medical insurance as follows: Insurer: Company: A l vi n Policy #: Yellowjacket I authorize the camp personnel to act for me in case of any medical emergency. I under- stand I am responsible for all medical fees 2 0 18 associate with any injury that may occur. My child is physically fit to participate in any June 18-June 20, 2018 vigorous activity that might take place at Softball Camp Alvin ISD Sports Camps. By my signature 5:00 PM-9:00 PM below, I hereby release and forever dis- charge, and waive, any and all claims Alvin High School against Alvin ISD, its employees, sponsors, Make checks payable to: trustees, workers, and volunteers that relate Softball Field to my election regarding and/or my child’s Alvin ISD Athletics 1001 Stadium Dr. participation in the Alvin ISD Sports Camps. Return the completed application Alvin, Texas 77511 and payment to: Parent/Guardian Name: (please print) Alvin High School ATTN: David McCorkle - Softball Camp Camp Director: Parent/Guardian Signature: 801 South Johnson St. Alvin, TX 77511 David McCorkle (Alvin) Date: [email protected] 281-889-7320 (cell) This athletic camp/clinic follows guidelines set forth by Alvin ISD and the UIL Online payments available at www.myschoolbucks.com 2018 Softball Camp Registration - Secondary Heading Can Also register at this link— 20178 ALVIN Camp Staff and Camp Director: SOFTBALL https://goo.gl/forms/egAwwYcQsY0Z723a2 CAMP David McCorkle Coach McCorkle has over 16 years of coaching Name: experience, as well as 16+ years of training and Dates: June 18– June 20, 2017 lessons. He has trained and coached over 100 Address: players that have gone on to play at the collegiate Ages: 5 - Incoming 9th graders level, and played baseball and volleyball at the collegiate level. City/Zip: Place: Manvel High School Softball Field Coach McCorkle is also the founder and director of Aces Express Fastpitch Organization, and is the Age: head coach/manager of the Gold team. Time: 5:00 PM– 9:00 PM Grade in 2017 - 2018 Tiffany Neal (Denham) Cost: $80.00 ($60 each for groups of 8 or more) Coach Neal is currently the associate head coach at High School zoned to: _______________________ Make checks payable to: Alvin HS, and also an Alvin alumni, class of 2008. She was a pitcher on the 2008 State Championship Camp Fee: $80.00 (Late—$90) Alvin ISD Athletics team. She went on to play 4 years at McNeese Uni- versity. She was an assistant at Pearland HS before T-shirt Information (select one) Return the completed application and payment to: joining the Alvin HS staff. Youth Small Method of Payment Youth Medium Alvin High School Check No: Kelly Fay Youth Large Attn: David McCorkle—Softball Camp Cash Coach fay is currently the associate head coach at Adult Small 801 South Johnson St Alvin HS, and has been coach at Dulles aand Adult Medium Alvin, TX 77511 Fulshear. Coach Fay played baseball collegiately Adult Large and is also the head coach of the Aces Express 16U Futures team. Parent/Emergency Contact All registrations and fees must be received by Name: June 17, 2018 Paula Tafelski Daytime/Cell Phone Number: Late registration will be on Monday, Coach Tafelski is the current Alvin HS JV Coach. She played collegiate softball at SFA, and was part June 19th from 4:00-4:45 PM of the 1986 NCAA National Championship Team. Any registration forms received after June 17th With over 25 years of coaching experience, she was will be required to pay an additional $10.00 late an assistant coach on the 2008 Alvin State Champi- Make checks payable to: fee. onship team, as well as the Head Softball Coach at Alvin ISD Athletics If you have any questions, please call Galena Park for 8 years. Return the completed application and Coach McCorkle: 281-889-7320 payment to: Alvin High School Or email : [email protected] ATTN: David McCorkle - Softball Camp Campers should wear: shorts (or pants), t-shirt, 801 South Johnson St. long socks, and cleats (have tennis shoes in case Alvin, TX 77511 of rain). Also, bring a glove and helmet. (You *Please complete the insurance form* may bring your personal bat if you have one) .