Team USA Jr Final Camp Evaluation
Camp Location: The 422 Sportsplex Pottstown PA
Camp Dates: August 5th - 6th 2017
Saturday 8 am to 4 pm
Sunday 9 am to 3 pm


Evaluation camp fee is $70 per camp. Payment is due at check in camp cash only.

Email address
First Name
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Your Cell Phone
Your answer
Your Email
Your answer
Birthdate
(MM-DD-YY)
Your answer
Confirm YEAR you were born
(YYYY)
Your answer
Which camp will you be attending ?
T Shirt Size ?
Position Primary
Position Secondary
Position Other
Did you attend the Harrisburg PA Camp in December or Mt Pleasant PA in June ?
Required
If yes what is your prospect number ?
Your answer
If yes do you need new prospect t shirts with your number on the back ? Cost is $10 each red/blue
What club team are you playing for this tournament season ?
Your answer
What is your jersey number for your CLUB team ?
Your answer
What tournaments are you playing in ?
Your answer
A copy of your responses will be emailed to the address you provided.
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