Mail-in/Fax/E-mail Registration Form
Please mail and pay by Money Order ($115.00) or Credit Card(Bottom of page) and mail/fax/email to:
ScoutsFocus
C/O Joe Davis
PO BOX 2563
Greenville, NC 27836
Payment Phone: 281.896.8638
Fax: 888.380.8149
Email:
Must be postmarked at least 10 days prior to desired camp date or it will not be accepted. Within 10 days of preferred showcase location; online, fax and phone registration are the only allowed methods, space permitting.
Check Desired Camp(s):
Saturday, September 1
Los Angeles, CA (Players Edge, Corona, CA)
Sunday, September 2
Bay Area, CA (Contra Costa College)
Saturday, September 8
Dallas, TX (Grand Prairie HS)
Sunday, September 9
Austin, TX (Akins HS)
Saturday, September 15
Chicago, IL (Joy of the Game, Deerfield)
Sunday, September 16
Indianapolis, IN (Noblesville Boys and Girls Club)
Saturday, September 22
Atlanta Area (Players Park, Marietta, GA)
Sunday, September 23
Charlotte, NC (Gaston Day School)
Saturday, September 29
Houston, TX (Harvest Time Church)
Sunday, September 30
DC Area (Discovery Sports Center, Boyds, MD)
Saturday, October 6
Philly (Christian Life Center Academy, Burlington,NJ)
Sunday, October 7
NYC (Northsport Athletic Facility, Northport, NY)
Saturday, October 13
Raleigh, NC (JD Lewis Center)
Sunday, October 14
Hampton, VA (Boo Williams SportsPlex)
Saturday, October 20
Miami, FL (Miami Springs Recreation Center)
Sunday, October 21
Orlando, FL (Orlando Sports Center)
Sunday, October 27
Boston, MA (Kroc Center)
Saturday, November 3
Eagan, MN (High Performance Sports Academy)
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 Street 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______
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 Showcase Fee: $115
Additional options (See scoutsfocus.com/cancel.html for cancellation insurance information):
Highlight Video+Evaluation: $50 Online Profile: $25 Scouting Video+Highlight+Evaluation: $75 Cancellation Insurance: $10
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______