Mail-in/Fax/E-mailRegistration Form
Pay by Money Order ($109.00) or credit card (bottom of page) and MAIL/FAX/EMAIL it to:
ScoutsFocus
C/O Joe Davis
1206 S. Evans Street, Suite C
Greenville, NC 27834
Payment Phone: 252.389.9777
Fax: 888.380.8149
Email:
Must be postmarked at least 10 days prior to desired camp date or it will not be accepted. Online, fax and phone registration are the only allowed methods WITHIN 10 DAYS of the showcase, space permitting.
Circle Desired Camp(s):
Saturday, August 24Bay Area (CA)(Tice Valley Gym, Walnut Creek)
Sunday, August 25Seattle, WA(Bellevue College, Bellevue, WA)
Saturday, August 31LA (Players Edge, Corona, CA)
Sunday, September 1San Diego, CA(Canyon Crest Academy)
Monday, September 2Las Vegas, NV (Heinrich YMCA)
Saturday, September 7Houston, TX (The Gym, Humble, TX)
Sunday, September 8New Orleans(Crescent City Christian School)
Saturday, September 14Chicago, IL(Joy of the Game, Deerfield)
Sunday, September 15Indianapolis(Noblesville Boys & Girls Club)
Saturday, September 21Atlanta, GA(Players Park, Marietta, GA)
Sunday, September 22Charlotte, NC (Carolina Courts, Concord, NC)
Saturday, September 28Dallas, TX (The MAC Sports)
Sunday, September 29Kansas City (OKUN Fieldhouse Shawnee, KS)
Saturday, October 5Philadelphia(Christian Life Center, Burlington, NJ)
Sunday, October 6Hampton, VA (Boo Williams SportsPlex)
Saturday, October 12Raleigh, NC (JD Lewis Center)
Saturday, October 13Fairfax, VA (Paul VI Catholic HS)
Saturday, October 19Miami, FL (Miami Springs Recreation Center)
Sunday, October 20Orlando, FL (RDV SportsPlex)
Saturday, October 26Boston, MA (Kroc Center)
Sunday, October 27Brewster, NY (Brewster Sports Center)
Saturday, November 2Eagan, MN (High Performance Sports Academy)
Sunday, November 3Milwaukee, WI(Concordia U, Mequon)
Saturday, November 9Detroit, MI (HYPE Recreation Center)
Please fill out as much info as possible as it will be made available to scouts and college coaches:
Camper Name______Camper Email______Camper Cell______
Street______Apt______City ______State Zip______Home Phone______
School School Address______School City/State/Zip______
Birthday______Height______Weight______Position______Grad Year______Shirt Size______
AAU Team Name______AAU Coach______AAU Coach Cell______AAU Email______
High School Coach Name______Cell______Email______GPA/SAT/ACT______
Parent/Guardian Name______Cell______Email______Cell #2______
College(s) currently recruiting me: ______Registration Password______
Insurance carrier______Policy #______Group #______
I, the undersign, submit that my son is physically fit and able to participate in strenuous activity and hereby waive ScoutsFocus of all responsibility for illness or injury sustained. I hereby authorize camp personnel and directors to act on my behalf in their best judgement in any medical situation. I understand I am solely responsible for payment of any such medical expenses and must provide ScoutsFocus with proof of medical and accident insurance. I also understand that my payment is non-refundable and non-transferable under any circumstances.
Parent Name & signature______Date______
One ShowcaseFee: $109 (Late Fee: $125 within 14 days of the camp)
Additional options (See scoutsfocus.com/cancel.html for cancellation insurance information):
Highlight Video+Evaluation: $49 Online Profile: $29 Scouting Video+Highlight+Evaluation: $79 Cancellation Insurance: $10
Elite 80 Reversible Jersey: $20 Highlight Video+Evaluation+DVD: $74 Scouting+Highlight+DVD+Evaluation: $124
Credit Card Number______Expiration______
Cardholder Name______Security Code______
Billing Street Address and Zip Code______
Amount Authorized $______
Signature______Date______
Office Use Only: Amount Payed______Balance______Date Rec’d______Processing Enployee______