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Women's Softball Potential Player Form

Please fill out the following form if you are interested in playing intercollegiate softball at
Illinois Valley Community College. Please mail this form to:

Illinois Valley Community College
Attention: Women's Softball
815 N. Orlando Smith Avenue
Oglesby, IL 61348

or email to:  Cory_Tomasson@ivcc.edu

Please print or write legibly.

Name:_________________________________________________________

Prefer to be called:___________________________ 

Address:________________________________________________________

City/State/Zip Code:_______________________________________________

Social Security No:_____________________

Date of Birth:_______/________/________

Telephone Area Code:  (         )___________________

Cell: (         )___________________

Parent's Names: Father__________________________Mother______________________

High School________________________________Graduation Date_____________

Address_________________________________________________________

City______________________________State_______Zip Code_______________

Name of High School Coach_____________________________________________

School Phone_______________________Home Phone_______________________

Do you play summer ball?   Yes     No          If yes:

Name of Team Coach _________________Coach's Phone _____________________

Player's Information:

Position(s)   _______________________________________________

Please Circle One

Throws:  Left    Right        Bats: Left    Right   Switch

Speed:  Below Average     Average     Above Average

Arm Strenth:  Below Average   Average    Above Average

List honors or
awards____________________________________________________________

In what subject would you like to major?___________________________________

Have you taken the ACT? ( ) Yes ( ) No Score___________

Grade Point Average:____________Class Rank___________

*Please note:  Effective Fall 2013 all student athletes will be required to have primary
health insurance.  If you do not have primary insurance, please contact the Head Coach
and he will give you additional information regarding this matter.