U25 SA TOUR INTEREST FORM - American Polocrosse Association

U25 OUTBOUND TO SOUTH AFRICA

*More details will be made available once we determine the level of interest for this opportunity. If we do not have enough interest this tour may not happen. We are looking to have 6-8 US players to send over, as well as a coach and manager.

Overview:

Selected US players will travel to Walkerville, South Africa to participate in a U25 tournament the weekend of August 26/27. Walkerville is just about 20 miles from Johannesburg, making for convenient travel. Air travel is to be arranged by the individual but can coordinate with the other American travelers. More specific details to follow about transportation, lodging, meals, and required equipment once the amount of players has been finalized.

Requirements:

Ages: Must be 25 or younger as of 01/01/2023
Be available to travel to South Africa for at least five days to include August 25-28

U25 SA OUTBOUND

U25 SA Outbound Tour Player Application Form

Applicant Name:(Required)

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

I am an APA Member in Good Standing(Required)

Polocrosse Club(Required)

Rating(Required)

Personal Reference Name(Required)

Personal Reference Phone Number(Required)

Explain why you would be a good candidate to represent the APA on this tour opportunity:(Required)

Provide a brief summary of your riding and polocrosse experience (how long have you been riding/playing, what is the highest level of polocrosse you have played, etc.):(Required)

I am a YDP member (the Youth Development Program provides: coaching at tournaments, invitations to YDP specific events, mentorship…and we encourage all APA members under the age of 21 to apply)(Required)

Player Signature(Required)

Date(Required)

Are you under 18?(Required)

Parent Name(Required)

Parent Phone(Required)

Parent Email(Required)

Parent Signature(Required)

Date:(Required)

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