Application Due Date: December 31st, 2024

Registration Fees: $150 per person per year (program jersey and access to online virtual Athlete Development educational sessions included), plus a $150 camp deposit (to be applied to first camp archer attends). Additional individual camp registration fees and/or athletes travel expenses to attend the camps are not included in the program registration fee. USA Archery will send an invitation to pay after applications are reviwed.

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* 1. Applicant Name:

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* 2. Para Athlete Designation

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* 3. Gender

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* 4. Bow type

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* 5. I was a member of the 2024 Regional Elite Program:

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* 6. Please select the style of jersey you would like to receive below (ONE STYLE ONLY ONLY):

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* 7. Please select the size of jersey you would like to receive below (ONE SIZE ONLY):

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* 8. Please list your LAST NAME exactly as it would be printed on the jersey:

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* 9. Address

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* 10. Date of Birth

Date

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* 11. USA Archery Member Information (Temporary, Recreational and Promotional Memberships are not eligible member types for the program):

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* 12. Currrent Age:

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* 13. Indicate to which Program Region you are applying:

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* 14. U.S. Citizenship Verification

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* 15. Please indicate your availability for camps in 4 day increments according to your school calendar:

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* 16. Personal Coach Information (Leave Blank if you do not have a Personal Coach)

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* 17. Athletes are encouraged to invite their personal coach to attend camps so that information learned at camp can also be applied at home. There will be a fee for a personal coach to attend each camp and they must register through the USA Archery Coach Observer Program. Please indicate below if you would like USA Archery to invite your coach to join you at camp:

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* 18. Please indicate below which option qualifies you for the Regional Elite Program (select only one):

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* 19. Please provide the required information for the Minimum Qualifying Score (MQS) or JOAD Outdoor Achievement Award achieved on the last 12 months that qualifies you for this program:

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* 20. Please upload the scorecard to verify your MQS or Red JOAD Outdoor Achievement Pin Award Score listed in question 19. A screenshot of your scorecard from www.betweenends.com will also be accepted.

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* 21. Please indicate your USAT rank below (Leave Blank if you do not have a current USAT Rank):

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