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16
Questions
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1
Player Name
*
This field is required.
First Name
Last Name
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2
USAV Member #
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3
Grade
*
This field is required.
Please Select
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please Select
Please Select
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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4
Birth Date
*
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-
Date
Month
Day
Year
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5
School Attending
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6
T-Shirt Size
Please Select
Youth M
Youth L
Adult XS
Adult S
Adult M
Adult L
Adult XL
Please Select
Please Select
Youth M
Youth L
Adult XS
Adult S
Adult M
Adult L
Adult XL
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7
Parent Name
First Name
Last Name
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8
Phone Number
Area Code
Phone Number
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9
E-mail
*
This field is required.
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10
Desired Position of Player (Not required)
can choose multiple
Left Side Hitter
Middle Blocker
Setter
Right Side Hitter
Defensive Specialist
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11
Ohio Xtreme Location (Club location you would like to be considered for)
*
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The Rock - Canal Fulton
CVCA - Cuyahoga Falls
Both
The Rock - Canal Fulton
CVCA - Cuyahoga Falls
Both
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12
Team Level Desired
Select all interested in
Teal (Top Level/Open/National)
Black (American/Premier)
Purple (Regional/Club)
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13
Tryout Attending
*
This field is required.
14's - Nov 1st - Stark - 5:15-7:15pm @ The Rock
14's - Nov 1st - Summit or Both - 7:30-9:30pm @ The Rock
15's - Nov 15th - 6:00-9:00pm @ The Rock
16's - 18's - Nov 16th - 6:00-9:00pm @ The Rock
14's - Nov 1st - Stark - 5:15-7:15pm @ The Rock
14's - Nov 1st - Summit or Both - 7:30-9:30pm @ The Rock
15's - Nov 15th - 6:00-9:00pm @ The Rock
16's - 18's - Nov 16th - 6:00-9:00pm @ The Rock
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14
Other sport participation
*
This field is required.
School Basketball
Club/Travel Basketball
School Softball
Club/Travel Softball
School Gymnastics
Club/Travel Gymnastics
School Track & Field
Club/Travel Soccer
Other Sport
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15
Other activity participation
*
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16
Tryout Fee
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( X )
My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Tryout Registration Fee
$
25.00
+
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Credit Card
First Name
Last Name
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