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* 1. Applicant Name:

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* 2. Which division do you compete in?

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* 3. Address

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* 4. USA Archery Member Information

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* 5. U.S. Citizenship Verification

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* 6. Para Athlete Designation

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* 7. Please select the region are you are applying for to attend camp as a guest.

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* 8. Please list the camp date and location for which you are applying.

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* 9. Currrent Age:

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* 10. Gender

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

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* 12. Program athletes are encouraged to invite their personal coach to attend camps so that information learned can also be applied at home. There will be a fee for a personal coach to attend any  camp and they must register through the Coach Observer Program. Personal Coaches will be required to have a current USA Archery Membership, USA Archery Background Screen and U.S. Center for SafeSport training. Please indicate below if you would like USA Archery to invite your coach to join you at camp:

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* 13. Please provide your highest Minimum Qualifying Score (MQS) you have achieved in the last 12 months. Guest MQS at time of application must be within 50 points of Program MQS-See Regional Elite Program Guide):

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