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* 1. Applicant Name:

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* 2. Which division do you compete in?

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* 3. Address

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* 4. USA Archery Member Information

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* 5. U.S. Citizenship Verification

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* 6. Para Athlete Designation

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* 7. Please select the region are you are applying for to attend camp as a guest.

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* 8. Please list the camp date and location for which you are applying.

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* 9. Currrent Age:

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* 10. Gender

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* 11. Personal Coach Information

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* 12. Program athletes are encouraged to invite their personal coach to attend camps so that information learned can also be applied at home. There will be a fee for a personal coach to attend any  camp and they must register through the Coach Observer Program. Personal Coaches will be required to have a current USA Archery Membership, USA Archery Background Screen and U.S. Center for SafeSport training. Please indicate below if you would like USA Archery to invite your coach to join you at camp:

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* 13. Please provide your highest Minimum Qualifying Score (MQS) or JOAD Outdoor Achievement Pin Award Color you have achieve in the last 12 months:

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* 14. I understand I must maintain a current USA Archery membership.

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* 15. I understand I am responsible for all travel related expenses to attend camps.

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* 16. I agree to abide by the USA Archery High Performance Ethos found here.

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* 17. I agree to abide by the Minor Athlete Abuse and Prevention Policy found here.

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* 18. I understand Minor Athlete Consent Forms will be required, if applicable, for camp lodging and/or transportation and must be completed prior to attending each camp.

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* 19. I understand that I must complete the Minor Athlete Safety Plan prior to attending camp. This can be submitted annually.

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