Juniors Interest Survey for Sheffield 2019
Please fill out this interest survey before July 31, 2018 if you are interested in playing at the 2019 Juniors Worlds Competition in Sheffield, England on Aug 14, 2019 – Aug 24, 2019.

Organizers info is regularly posted here:

Eligibility for U19 girls, U19 boys, U23 girls and U23 boys:

1) Be 18 (or younger, for U19) or 22 (or younger, for U23) in January 1, 2019
2) Be a United States Citizen or Permanent Resident

****Filling out this survey does not commit you to anything nor does it guarantee your admittance to any of the USA Juniors Teams being sent to England. The Juniors Steering Committee will contact all interested individuals after all surveys have been completed.****

Player Questions
Name of Player *
Your answer
Gender of Player *
Email Address *
Your answer
Cell Phone
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Underwater Hockey Club Affiliation
(if any)
Your answer
Extent of Underwater Hockey Experience *
(years playing, where, tournaments, level of play [ask your coach])
Your answer
Crosstraining sports and exercise activities/ level of general fitness *
(list monthly/annual workout habits)
Your answer
Name and contact information of one or two experienced players that know you well
(Optional: if you are new to the USA Juniors group, tell us who can we ask for a reference about you, tell us how to contact them)
Your answer
Any additional information
(tell us anything that we should know about you that may affect your selection for the team or your attendance of the event)
Your answer
Parental/Guardian 1 Information
(This parent/guardian will be the primary contact for the the U19 players. This information is optional for U23 players, U23 parents will be added to communications only if requested. U23 players please enter NA if not providing parents info)
Parent/Guardian 1 Name *
Your answer
Email Address *
Your answer
Home or Cell Phone *
Your answer
*
Parent/Guardian 1's Extent of Acquaintance with Underwater Hockey *
(as parent, player, referee and/or organizer. Only necessary if you are new to the USA Juniors)
Your answer
Parental/Guardian 2 Information
(Optional)
Parent/Guardian 2 Name
Your answer
Email Address
Your answer
Home or Cell Phone
Your answer
Parent/Guardian 2's Extent of Acquaintance with Underwater Hockey
(as parent, player, referee and/or organizer. Only necessary if you are new to the USA Juniors)
Your answer
Will player be allowed to attend without a companion parent/guardian or other? *
Will either or both parents/guardian be able to help the team by attending on their own expense? *
Explain any previous 'Maybe' answers.
Your answer
While we don't have a definitive cost yet, will money be a limiting factor in your child's ability to attend? *
If yes, please explain
(We'd like to get an approximate sense of how likely it would be for the player to cover the full cost of attending the event. Your answer will not affect the players' eligibility at this point. Please let us know about your interest even if you would not be able to pay for the travel expense without help. We will provide more information about finances and possible help later)
Your answer
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