USA Beach Junior Camp Online Registration

1. Fill out the following online application.
2. Purchase your camp registration fee from the confirmation page.
3. Print and Sign the Camp Registration Form PDF file from the confirmation page after the purchase payment is completed.
4. Bring the Completed and Signed Camp Registration Form to the camp site on the first day of camp to complete your registration.
5. Contact for further information: 310.216.7901.

Please use the secure form below to enter the required registration form information for the USAV Junior Beach Camps. When completed, click on the Button/Link "Continue" at the bottom of this page.  You will then continue to a confirmation page where you will be instructed to click on the following 2 links:

1. Button/Link 1 "Buy Now" will open a secure payment window where you will purchase your camp fee. (Important Note: Once payment is confirmed, please do not click on the back button and authorize a transaction a second time. Your credit card would be charged a second time).  
2. Button/Link 2 "View/Print Registration Form PDF" will open a pdf file which you must print, sign and bring with you to the camp. The form will be automatically populated by the registration form information you have filled into the secure form below.

Once confirmed, please do not click the back button and register a second time.  

If you are attempting to registering for the Junior Beach Tour Events, please click register here.

International Selection Camp Fee $100/USA Beach Performance Camp Fee $250

International Selection Camp (Playa del Rey, CA) – June 6 - 8

USA Beach Performance Camp (El Segundo, CA) – July 15 - 18

Online Registration ends midnight PST one week before the event date.

Filled out your Registration, but haven't paid yet or need to Reprint your Registration Form? Please click here.

Event (required)	USA Beach Performance Camp   July 15-18, 2008 (Tues - Fri)
First Name (required)
Middle Initial
Last Name (required)
Check here if name has changed in past year.
Previous Name
Birth Date (required)	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970
Gender (required)	Choose Male Female
Address (required)
City (required)
State (required)	Choose a State Other / NON US Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Province du Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennesse Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming Yukon Territory
Zip (required)
Country (required)	Choose a Country United States Other Algeria American Samoa Andorra Anguilla Antarctica Antigua and Barbuda Argentina Aruba Australia Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Ethiopia Falkland Islands Faroe Islands Fiji Finland France France French Guiana French Polynesia French Southern Territories Gabon Gambia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kenya Kiribati Korea Korea Kuwait Lebanon Lesotho Liberia Liechtenstein Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Monaco Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestein Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent & the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turks and Caicos Islands Tuvalu Uganda United Arab Emirates United Kingdom United States United States Outlying Islands Uruguay Vanuatu Vatican City State (Holy See) Venezuela Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
Check here if address has changed in past year.
Email (required)
Home Phone (required)
Cell Phone
School (required)
Grade (required)
School/Work Phone (required)
Level of Volleyball Played (required)	(i.e. Varsity, JV, Frosh, None)
Indoor Club Team Name (required)	If none, type None
USAV Member? (required)	Yes    No
USAV Member #(required)	If none, type None
Please choose one of the following	Choose American Indian or Alaskan Native Black, not of Hispanic Origin Mixed Race White, not of Hispanic Origin Asian Hispanic or Latino Native Hawaiian or Other Pacific Islander Prefer Not To Say
Are you Hearing impaired/deaf (for USA Deaflympic Talent ID)
Are you Disabled Physically (for Paralympic Talent ID)
USA Volleyball Region(required)
Parent Name (required)
Parent Address (required)
Parent City (required)
Parent State (required)	Choose a State Other / NON US Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Province du Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennesse Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming Yukon Territory
Parent ZIP (required)
Parent Email (required)
Parent Home Phone (required)
Parent Cell Phone
Family Physician Name(required)
Physician Phone(required)
Emergency Contact Name(required) If different than Parent/Guardian. Otherwise type Parent
Emergency Contact Home Phone(required) If different than Parent/Guardian. Otherwise type Parent
Emergency Contact Cell Phone
Insurance Company (required)	If none, type None
Group Policy (required)	If none, type None
Known Medical Conditions If none, type None