Carolina Bowl Nominations

Crucible Select Registration (Georgia)

Welcome to the Crucible Select!

The Crucible Select is an intense “invitation only” two-day football developmental training that primarily focuses on position specific fundamentals and competition. During the two-day training, the CHOSEN players will be trained on the finer points of their position specific requirements. Additionally, the invited student athlete will be put through a skills competition at the end of camp to determine the most skilled camper. The camp features some of the most outstanding coaches in the nation. You can expect coaching representation from the NFL and the Collegiate ranks, as well as our normal championship level high school coaching alumni. There will be custom apparel distributed to the participants during check-in and the camp provides lunch daily for all camp participants.

Crucible Select – Georgia

Dates: May 30-31, 2020
Location: Carlton J. Kell High School
- 4770 Lee Waters Road, Marietta, GA 30066

Things to Bring:

Quarterbacks - (Favorite Ball)
Kickers & Punters - (Favorite kicking balls and tees)
Cleats
Mouth Pieces
Helmets (Lineman Only)

$399.00

Athlete's First Name*

Athlete's Last Name*

ACKNOWLEDGMENT/AGREEMENT of the following: Participation in any Crucible Select event requires the completion of the registration process, as well as agreement to the Parent/Guardian Permission, Waiver and Release. Failure to complete this process, or failure to agree to the Parent/Guardian Permission, Waiver & Release will preclude a prospect's participation in any Crucible Select Event.*

The Crucible Select charges a registration fee of $399 (+5% Service Charge) to participate in the Crucible Select. Do you understand that by agreeing to this registration that you will be required to pay a non-refundable $399 (+5% Service Fee) to be placed on the Training Roster? Completion of all registration items is required prior to allowing the athlete to participate in the Crucible Select.*

Starting Position (Primary)*

Choose the appropriate Grade/Graduation Year*

Date of Birth*

Format (MM/DD/YYYY) - (01, 02 etc...)/Day/Year (2001, 2002 etc...). Ex. (02/23/2008)

Age*

Choose Height*

Choose Weight*

Choose Gender*

Choose T-Shirt/Polo/Jersey Size (Men's Sizes)*

Choose Shorts Size (Men's Sizes)*

Identify the High School to which the athlete or musician is currently zoned*

Current High School Name*

Enter your current Head Coach's Name*

Enter your Head Coach's Cell Phone Number*

Enter your current Head Coach's Email Address*

Has the athlete ever been diagnosed with a concussion?*

If the answer was YES to the Concussion Injury question, please explain the situation in detail (e.g. how, when, where, etc)

Has the athlete ever broken any bones?*

If the answer was YES to the Broken Bone Injury question, please explain the situation in detail (e.g. how, when, where, etc)

Does the participant have any food allergies?*

If the answer was YES to the Food Allergy question, please provide details regarding the specific food allergy(s)

Does the participant have any Social Media Accounts?*

Address*

City*

State

Zip/Postal Code*

Country*

Phone*

Email*