USA Archery Short-Term Training Program Application Form

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* 1. Section 1: Applicant Information
Applicant Name:

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* 2. Currrent Age:

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* 3. Address

Address

City/Town

State

Zip Code

Email Address

Phone Number

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* 4. Gender

Male

Female

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* 5. USA Archery Member Information

USAA Member Type:

USAA Member ID:

USAA Member Expiration Date:

U.S. Center for SafeSport Expiration Date:

USAA Background Screen Expiration Date:

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* 6. U.S. Citizenship Verification

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

No, I am not a U.S. Citizen but I am eligible to compete for USA Archery per World Archery rules and I can provide proof.

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* 7. Personal Coach Information

Coach Name

Coach Phone Number

Coach Email

Club Name

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* 8. Program athletes are encouraged to invite their personal coach to self-fund to a short-term training program. Please indicate below if you would like USA Archery to invite your coach to join you at training (note additional forms will need to be signed by personal coach)

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

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

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* 9. Personal Coach Access to the Training Location (if applicable):

NORTH CAROLINA LOCATION - Proposed Arrival and Departure Dates

CHULA VISTA, CA LOCATION - Proposed Arrival and Departure Dates

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* 10. Section 2: Program Affiliation
Please select the team(s), camp and/or high performance programs you are a current member of:

Funded International Team

Senior Recurve USAT

Para USAT

U21 Recurve USAT

U18 Recurve USAT

National Elite Program

National Elite Program U18

Invited by National Head Coaching Staff List Name of Coach)

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* 11. As explained in the High Performance Program Guide, you must have obtained a minimum qualifying score (MQS) in the last 12 months. The score must be obtained at any United States Archery Team (USAT) or USA Archery sanctioned events listed as State, Regional or National or at a World Archery sanctioned event. Proof of obtaining the MQS must be submitted with your application via a link to a website of published scores, a copy of the published results, or a copy of a signed score card.

Proof of obtaining the MQS must be submitted with your application via a link to a website of published scores, a copy of the published results, or a copy of a signed score card.

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* 12. My MQS is

72 Arrow Qualification Round Score

Distance

Target Face Size

Tournament Name

Tournament Date

Tournament Location

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* 13. My discipline is:

Recurve

Compound

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* 14. My Current NRS or USAT Rank is:

U18 Rank

U21 Rank

NRS Para Rank

NRS Senior Rank

I am not ranked

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* 15. Section 3: Requested Training Location and User Training Date(s) information
Please indicate which training facility you are applying for:

NORTH CAROLINA LOCATION - Proposed Arrival and Departure dates

CHULA VISTA, CA LOCATION - USER NIGHTS- Number of Funded User Nights Requested

CHULA VISTA, CA LOCATION - USER NIGHTS - Proposed Arrival and Departure Dates

CHULA VISTA, CA LOCATION - USER DAYS - Number of Funded Training Days Requested

CHULA VISTA, CA LOCATION - USER DAYS - Proposed Arrival and Departure Dates

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* 16. Section 4: Goals
What are your Short-Term performance goals?

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* 17. Section 4: Goals
What are your Long-Term performance goals?

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* 18. Section 7: Application Deadline and CVEATC Cancelation Policy

Application Deadline – All requests must be received a minimum of 30 days in advance of the proposed start date.

CVEATC Cancelation Policy
·      You may cancel a reservation at any point up to 91 days before the start date of your reservation with no penalty.
·      If any Entire reservation is cancelled or re-scheduled 90 to 61 days prior to the original reservation date, the athlete will be required to pay 50% of the reservation cost to include housing, meals and facility access.
·      If any Entire reservation is cancelled or re-scheduled 60 days prior to the original event date, the athletewill be required to pay 100% of the reservation cost to include housing, meals and facility access.
·      Training Periods can be cancelled or re-scheduled more than 91 days in advance without penalty.
*CVEATC may alter their cancelation policy at any time. USAA will not be responsible for fees incurred by applicants due to CVEATC changing their cancelation policy or athletes change of plans for any reason, including emergencies.
Please agree below to these terms and conditions.

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* 19. Do you agree to abide by the USA Archery High Performance Ethos found here?

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* 20. Do you agree to abide by the Minor Athlete Abuse and Prevention Policy found here?

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* 21. I understand I will be responsible for all travel expenses to attend training in Chula Vista, CA and/or Charlotte, NC.

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* 22. I understand I must maintain a current USA Archery membership, USA Archery background screen and U.S. Center for SafeSport training.

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* 23. By selecting "I agree" you acknowledge and confirm that the information presented in this application is true and accurate.

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* 24. Section 8: Terms and Conditions
By filling out below, I understand that if I am selected by USAA for a Short-Term Training Program, I will be required to adhere to all policies and procedures set forth by USAA, USPC, EACE and/or CVEATC. I understand USAA will provide a Short-Term Training Program Agreement, USPC, CVEATC and/or EACE and terms and conditions, which must be signed prior to my arrival for training. I understand I am responsible for any and all charges related to my stay at the and if I am either terminated from the program per the guidelines set forth in my Short-Term Training Program Athlete Agreement or if I fail to cancel my reservation prior to the deadlines outlined in the CVEATC cancelation policy, if applicable, I will personally be responsible for paying all cancellation fees and will be invoiced by USAA, if applicable. I understand USAA is not responsible for any travel logistics or expenses associated with my Short-Term Training Program. I also understand USAA cannot guarantee the training dates requested will be available and that training dates requested may be altered at any time.

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* 25. Section 9:

Minor Consent to apply for Short-Term Training

Name of Parent or Legal Guardian (If Athlete Under Age 18):

Email Address of Parent or Legal Guardian (If Athlete Under Age 18):

Phone Number of Parent or Legal Guardian (If Athlete Under Age 18):

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* 1. Section 1: Applicant InformationApplicant Name:

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* 2. Currrent Age:

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* 3. Address

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* 4. Gender

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* 5. USA Archery Member Information

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* 6. U.S. Citizenship Verification

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* 7. Personal Coach Information

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* 8. Program athletes are encouraged to invite their personal coach to self-fund to a short-term training program. Please indicate below if you would like USA Archery to invite your coach to join you at training (note additional forms will need to be signed by personal coach)

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* 9. Personal Coach Access to the Training Location (if applicable):

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* 10. Section 2: Program AffiliationPlease select the team(s), camp and/or high performance programs you are a current member of:

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* 12. My MQS is

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* 13. My discipline is:

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* 14. My Current NRS or USAT Rank is:

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* 15. Section 3: Requested Training Location and User Training Date(s) information Please indicate which training facility you are applying for:

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* 16. Section 4: GoalsWhat are your Short-Term performance goals?

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* 17. Section 4: GoalsWhat are your Long-Term performance goals?

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* 19. Do you agree to abide by the USA Archery High Performance Ethos found here?

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* 20. Do you agree to abide by the Minor Athlete Abuse and Prevention Policy found here?

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* 21. I understand I will be responsible for all travel expenses to attend training in Chula Vista, CA and/or Charlotte, NC.

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* 22. I understand I must maintain a current USA Archery membership, USA Archery background screen and U.S. Center for SafeSport training.

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* 23. By selecting "I agree" you acknowledge and confirm that the information presented in this application is true and accurate.

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* 25. Section 9: Minor Consent to apply for Short-Term Training

* 1. Section 1: Applicant Information
Applicant Name:

* 10. Section 2: Program Affiliation
Please select the team(s), camp and/or high performance programs you are a current member of:

* 15. Section 3: Requested Training Location and User Training Date(s) information
Please indicate which training facility you are applying for:

* 16. Section 4: Goals
What are your Short-Term performance goals?

* 17. Section 4: Goals
What are your Long-Term performance goals?

* 25. Section 9:

Minor Consent to apply for Short-Term Training