Please complete the form below.
You will be added to the USSI mailing list and receive notification of all future programs in your area.
 Thanks for your interest in the US Sports Institute
   
Family Details  
   Parent First Name Title 
   Family Last Name
   Street Address
   City
   State

 
   Zip
   Home Phone
   Daytime Phone
   E-Mail
 

     Please enter the birthdates of your children.  We will then mail you information for any future programs
     in your area that are appropriate for you child's age.
   Child 1                  Month    Year 
   Child 2                  Month    Year 
   Child 3                  Month    Year 
   Child 4                  Month    Year 
   
    How did you find us?  Please check all that apply
    Received a flyer by mail
    Flyer through School
    Received a flyer by another method - Please identify:
    Previously attended camp
    A friend told me about USSI
    From a Newspaper Advertisement - Please identify:
    From a Poster
    From the Internet - Please identify:
    Other - Please identify: