EmailMeForm
QB Country – Throws Videos
*** Throws videos have to be filmed by a QBC coach***
Applicant Information
Athlete Name
*
First
Last
Email
*
2nd email - Optional
QB Country Location
*
Please select
Birmingham, AL
Jackson, MS
Charlotte, NC
Memphis, TN
Mobile, AL
Nashville, TN
North Shore, LA
Atlanta, GA
Dallas, TX
Throws Videos
2 minute video - $1,500
Current High School/ College
*
Head Coaches Name
*
Head Coaches Email
Head Coaches Phone
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###
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Height
*
Weight
*
GPA
*
ACT/SAT
*
Top 5 schools best case scenario
Top 5 schools satisfactory scenario
Top 5 schools worst case scenario
Comments
Signature
*
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If unable to sign, please initial.
Date
*
MM
/
DD
/
YYYY
After submitting application, you will be directed to payment page.