Capital Box Lacrosse Classic 2018 **Pre-Event Discount Ends 1-13-18** Step 1 of 5 20% Choose Your PackageFields with an asterisk (*) are required.Are you purchasing as an Individual, or for the Team?*Select OptionIndividualTeamChoose your interest.*Choose from purchasing game film only, or from having a highlight reel produced. Learn more about our highlight reel options by selecting the option.Select OptionFilm OnlyFilm and Highlight ReelHighlight Reel Only (Team Highlight option only)Choose your Individual Film package.*Select OptionSingle Game FilmAll Game FilmChoose your Team Film package.*Select OptionFull Team Access - All Game FilmChoose your Team Highlights package.*Select OptionFull Team Highlights - All Game FilmChoose your Individual Highlight package.***Custom** - Submit this form and we will send you the game film and a Time Stamps form. Send us back the form with the times of the clips you would like and we will get to work! **Professional** - Submit this form and we will have our Professionals take care of all the work!Select OptionCustom PackageProfessional PackageChoose your Team Highlights package.*Select OptionFull Team Highlights - All Game FilmNumber of Teams*Select Option1234Post-Event Team Access - 1 Team* Price: $ 849.00 Post-Event Team Access - 2 Teams* Price: $ 1,599.00 Post-Event Team Access - 3 Teams* Price: $ 2,249.00 Post-Event Team Access - 4 Teams* Price: $ 2,799.00 Post-Event Team Highlight Reel Only - 1 Team* Price: $ 325.00 Post-Event Team Highlight Reel Only - 2 Teams* Price: $ 575.00 Post-Event Team Highlight Reel Only - 3 Teams* Price: $ 850.00 Post-Event Team Highlight Reel Only - 4 Teams* Price: $ 1,025.00 Post-Event Team Highlight - 1 Team* Price: $ 1,049.00 Post-Event Team Highlight - 2 Teams* Price: $ 1,999.00 Post-Event Team Highlight- 3 Teams* Price: $ 2,849.00 Post-Event Team Highlight - 4 Teams* Price: $ 3,599.00 Post-Event Single Game Film* Price: $ 79.00 Post-Event All Game Film* Price: $ 189.00 Post-Event Custom Highlight Reel* Price: $ 209.00 Post-Event Professional Highlight Reel* Price: $ 299.00 Coupon Total $ 0.00 Package DetailsFields with an asterisk (*) are required.Team Name*Division*Select OptionSuper EliteEliteTime of Game and Opponent*Team Name 2*Division - 2nd Team*Select Option201820192020202120222023202420252026Team Name 3*Division - 3rd Team*Select Option201820192020202120222023202420252026Team Name 4*Division - 4th Team*Select Option201820192020202120222023202420252026 Customer InformationFields with an asterisk (*) are required.Team Location - City*Which city is your team from?Team Location - State*Which state is your team from? Please do not abbreviate.Graduation Year*Select Option20182019202020212022202320242025Team Record From EventWas the team Division Champions?Select OptionYesNoUpload Team LogoUpload your team logo in a .jpg or .png. The file must not exceed 200MB.Accepted file types: jpg, png.Correspondence Email*Please provide the email address with which we will correspond. Enter Email Confirm Email Contact Phone Number*Please provide a phone number to contact you at.Team EmailsIf you'd like us to send the game links to your team, please provide an excel spreadsheet with their email addresses in Column A.Accepted file types: xls, xlsm, xlsx.Head Coach Name First Last Head Coach Phone NumberPlease provide a phone number to contact you at.Head Coach Email Enter Email Confirm Email Assistant Coach Name First Last Assistant Coach Phone NumberPlease provide a phone number to contact you at.Assistant Coach Email Enter Email Confirm Email I would like to receive information about CruitCast products and services.*Select OptionYesNo Player InformationFields with an asterisk (*) are required.This section is only for Individual Highlight Reels. Please click Next to Continue. Athlete's Name* First Last Jersey Number*High SchoolHigh School CityHigh School StateGraduation YearSelect Option2017201820192020202120222023202420252026Primary PositionSelect OptionAttackDefenseFaceoffGoalieLSMMidfieldSecondary PositionSelect OptionAttackDefenseFaceoffGoalieLSMMidfieldHeightSelect Option4'4'14'24'34'44'54'64'74'84'94'104'115'5'15'25'35'45'55'65'75'85'95'105'116'6'16'26'36'46'56'66'76'86'96'106'117'7'17'27'37'47'57'6Weight (lbs.)Facebook HandleInstagram HandleLinkedIn HandleSnapChat HandleTwitter HandleAccoladesFields with an asterisk (*) are required.GPASAT Total Combined ScoreACT Total Combined ScoreOther Academic AccoladesHave you been on the Honor Roll? Have you received any awards, or merits? College coaches want to know this!Athletic AccoladesLet coaches know what teams you have played for, if you were a captain, if you won any awards, or any other athletic information!Contact InformationThis information will be used in the second part of the introduction of the highlight reel for college coaches to contact the player. Fields with an asterisk (*) are required.Player Contact Email Enter Email Confirm Email Player Contact Phone NumberHigh School Coach Name First Last High School Coach Email Enter Email Confirm Email High School Coach Phone NumberClub Coach Name First Last Club Coach Email Enter Email Confirm Email Club Coach Phone Number Billing InformationFields with an asterisk (*) are required.Your Total is: $ 0.00 Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Verify Cardholder's Name* First Last