2016 C-BC Network Exposure Scrimmage Night Contact Form

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

* Indicates required field

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 this exposure scrimmage session? *

Will you be paying session with? *

All payments MUST be upfront for program checks payable to brvc

Parent Name *

First

Last

Parent Email *

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 *

T-shirt Size *

If you would be interested in our regular Sunday Night Scrimmage Program *

Submit