Please fill out this quick application to begin your Boot Camp[Trial Period]<form method="post" action="http://www.emailmeform.com/fid.php?formid=340052" enctype="multipart/form-data" accept-charset="UTF-8">
<table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF">
<tr>
<td>
<font face="Verdana" size="2" color="#000000"></font>
 <div style="" id="mainmsg"> </div>

</td>
</tr>
</table>

<br>

<table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF">

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Your Gamertag</font></td>
 <td><input type="text" name="FieldData0" size="30"> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Age</font></td>
 <td><input type="text" name="FieldData1" size="30"> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Do you have a mic?</font></td>
 <td><input type="text" name="FieldData2" size="30"> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">What times are you usually online?</font></td>
 <td><textarea name="FieldData3" cols="50" rows="2"></textarea><br> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Have you read and agreed to our rules & regulations?</font></td>
 <td><input type="text" name="FieldData4" size="30"> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Which squad(game) are you applying for?</font></td>
 <td><input type="text" name="FieldData5" size="60"> </td>
</tr>

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">How did you hear about us?</font></td>
 <td><input type="text" name="FieldData6" size="60"> </td>
</tr>

<tr>
 <td colspan="2">
</td>
</tr>
<tr>
 <td>
 </td>
 <td align="right">
<input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;">
<input type="submit" class="btn" value="Send Application" name="Submit">&nbsp; &nbsp; <input type="reset" class="btn" value="  Clear  " name="Clear"></td>
</tr>
<tr>
<td colspan=2 align="center">
<br>
</td>
</tr>
</table>

</form></body>
</html>