2015 Scrimmage Contact Form

Player Name *

First

Last

Player Email *

Player Phone Number *

Give me some background about you that will assist us in understanding what your goals are for college and playing! *

What do you expect from a scrimmage session? *

When would you like to start *

Select Day that you would like to scrimmage *

If other days or more convenient please provide that information *

Parent Name *

First

Last

ParentEmail *

Parent Phone Number *

Club Name and Level *

High School and Level *

Click the one that applies (present grade/ club level *

Select the grade that applies *

Please Select Primary Position in High School *

Please Select Primary Position in Club *

NEW (5/24/15) Pricing is listed below (minimum of 4 players per court otherwise $35 per session) *

10 sessions $30 for each session 5-9 sessions $35 for each session 1-4 sessions $35 for each session Bring a Friend and get $5 off your session

Will you be paying session with? *

All payments MUST be upfront prior (5 days) checks payable to brvc

Download both forms for scrimmage
(parent and athlete must sign separate forms)