PA/MD SHOOT-OUT PLAYER FORM

Human Highlight Productions can make sure that your performance at this shoot-out is recorded. We will be covering the whole event. Games are available at $10 apiece (three for $25). We also can provide a highlight video of your day for an additional cost of $50 (regular cost for one of these videos is $150). You can go to http://www.humanhighlight.net to view some of our work. For any questions, call us at 717-215-9846 or email us at info@humanhighlight.net

 

 

HUMAN HIGHLIGHT PRODUCTIONS
 
Player Information

Player Information

Full Name:

 

 

 

                      Last

First

M.I.

Address:

 

 

                      Street Address

Apartment/Unit #

 

 

 

 

                      City

State

ZIP Code

Home Phone:

(         )

 

 

E-mail Address:

 

School

 

Birth Date:

 

 Colleges being recruited by:

 

Coaches Name:

 

 Year of Graduation:

 

 Name of Parents:

 

 

GAME REQUEST

How Many Games Would you Like Taped (1, 2, or all?) Cost is $10 per game (3 for 25)

 

Would you like a highlight video of your day?

 

Method of Payment (Cash or Check)

 

 

 

Profile Name on Website (for those choosing to get highlight videos done)

 

:

 

 

 

 

 

 

 

:

 

 

FOR PARENTS: I Agree to the Terms of Payment (parent sign below)

Full Name:

 

 

 

 

PRINT FIRST AND LAST NAME

SIGNATURE

DATE

Address:

 

 

 

Street Address

Apartment/Unit #

 

 

 

 

 

City

State

ZIP Code

Primary Phone:

(         )

Alternate Phone:

(         )

Relationship: