*1.Applicant Name:(Required.)

*2.Which division do you compete in?(Required.)

Barebow

Compound 

Recurve

Para

*3.Address(Required.)

Address

City/Town

State

AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming

Zip Code

Country

Athlete Email Address

Phone Number

*4.USA Archery Member Information(Required.)

USAA Membership Type:

USAA Member Expiration Date:

USAA Member ID:

*5.U.S. Citizenship Verification(Required.)

I am a U.S. Citizen and can provide proof

No, I am not a U.S. Citizen, but I meet the requirements to compete for USA per World Archery rules and I can provide documentation.

6.Para Athlete Designation

I am a nationally classified W1 Para athlete

I am a nationally classified Recurve Open Para athlete

I am a nationally classified Compound Open Para athlete

I am not a Para athlete.

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

EAST

NORTH

SOUTHEAST

SOUTH

WEST

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

*9.Currrent Age:(Required.)

*10.Gender(Required.)

Male

Female

11.Personal Coach Information (Leave Blank if you do not have a Personal Coach):

Coach Name

Coach Phone Number

Coach Email

*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:(Required.)

Yes, I want USA Archery to invite my personal coach to participate in my camp(s).

No, I will attend camp(s) without a personal coach.

*13.Please provide your highest Minimum Qualifying Score (MQS) you have achieved in the last 12 months. Guest MQS at time of application must be within 50 points of Program MQS-See Regional Elite Program Guide):(Required.)

72 Arrow Qualification Round Score:

Distance

Target Face Size

Date MQS was Achieved

Event Name where MQS was Achieved

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

I agreeI disagree

*15.I understand I am responsible for all registration and travel related expenses to attend camps.(Required.)

I agreeI disagree

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

I agreeI disagree

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

I agreeI disagree

*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.(Required.)

I agreeI disagree

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

I agreeI disagree