NORTHERN ILLINOIS INVITATIONAL SHOWCASE

SECURE ONLINE REGISTRATION / WAIVER
* Name:
* Address:
* City:
 * State:
 * Zip:
* Date of Birth:
 * Height:
 * Weight:
* Email Address:
* High School:
 * Graduation Year:
* Coach:
 * Coach Phone:
* Grade Point Average:
 ACT:
 SAT:
 * Class Rank:
Awards:
  
* Bats:
Left      Right      Switch 		* Throws:
Left      Right 		* 60 Yard Dash:
* Primary Position:
 * Secondary Position:
  
Parent Names:
  
Check #:

Make checks payable to: Pro Player Consultants		  
Credit Card:
 Credit Card Number:
 Expiration Date:
Security Number
(last 3 digits on back of card):   		 
PLEASE RECOMMEND THE BEST PLAYERS YOU KNOW
Name:
 School:
Phone:
 Email:
Name:
 School:
Phone:
 Email:
PARENT AUTHORIZATION / WAIVER
Please read this information:
We the parent(s) or guardian(s) of the above named player/student give my/our approval to participate in this program. We give our permission for emergency medical authorization in the event that we cannot be reached. We also do hereby waive, indemnify and agree to hold harmless Pro Player Consultants, Inc. and it's staff, sponsors, officers, owners and participants for any claim arising out of an injury to my / our child.

* Enter Security Code:
* REQUIRED FIELDS