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JPSC Player Highlight Video
Players Name
Please use first and last name.
Players Date of Birth
MM
DD
YYYY
Players Position
*
What club do you play for?
*
What high school do you attend?
*
What year is your graduating class?
*
What is your height?
*
What is your weight?
*
Email Address
*
Please use a valid email address so you will receive any and all updates.
Best number to contact you:
*
Please provide phone number(s).
Which highlight video package would you like?
*
Gold Package | $325
Silver Package | $250
Consent Form
*
Consent checkbox. Visit our
Consent
page before checking and proceeding.
Yes
Total
$0.00
JPSC Player Highlight Video quantity
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Registrations
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