2019 July 28 C-BC Network Exposure Scrimmage Night Contact Form

Download both forms for Exposure scrimmages
(3 forms needed to download and complete for registration)

JUMP back to sunday july 28 college-bound exposure scrimmage night information

Lead Clinicians:
Penny Lucas-White , Head Coach, Alabama State University
and key staff

C-BCNEC Director: Ruth N. Nelson (www.lvclub.org)

YOU may not just show-up for any scrimmages unless to have confirmation that we have received this form

College-Bound Coaches Network Exposure Scrimmage Night
Please complete the information below July 28 7:00-9:00.
Please note new pricing effective immediately (2/02/2019)
You will be contacted by e-mail or phone regarding your your interest in the scrimmage PASS Program.

* 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 and please include your weebly website? *

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 *

Graduation Date *

High School and Grade *

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 *

SUnday evening scrimmage

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

I agree to receiving marketing and promotional materials

Submit

Download both forms for Exposure scrimmages(3 forms needed to download and complete for registration)

JUMP back to sunday july 28 college-bound exposure scrimmage night information

SUnday evening scrimmage

Download both forms for Exposure scrimmages
(3 forms needed to download and complete for registration)