BP Registration/XCel Form 2020
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Beyond Potential / XCEL Registration / Waiver

Name (athlete/client): _______________________        Email: _________________________

Parent Name: ______________________   Email: _____________________________________

Cell #: _________________                   Sport & Position: _________________________________

Instagram Username: __________________________________________________  

Emergency Contact Name & Cell Phone:  ______________________________________

Age & Grade: __________________              Date of Birth: ___________________________

Injuries or Medical Conditions: _____________________________________________

CONSENT / MEDIA RELEASE / COVID WAIVER

Accepting my child in the training programs of Beyond Potential, along with their coaching staff, I understand and voluntarily accept the risks associated with all training programs implemented within the workouts. I also discharge Beyond Potential/ XCel, and its employees, from any and all liability for injuries that were sustained in participating in BP training programs. I also certify that my child has been checked by a doctor (within the past year) & has been cleared to engage in any type of physical activity.  

I give permission to allow Beyond Potential/ XCel Sports and Fitness the use of any pictures/ videos/ images of their participation in our programs on our website or social media postings.

COVID Release

Symptoms of COVID-19 include: • Fever • Fatigue • Dry Cough • Difficulty Breathing I agree to the following:

• I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.

• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days.

• I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days.

• I affirm that I, as well as all household members, have not traveled outside of the country or to any city considered to be a “hot spot” for COVID-19 infections within the past 30-days.

• I understand that [insert business name here] cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

Our business is following theses enhanced procedures to prevent the spread of COVID-19: • [list how your business is enhancing protection for clients amid COVID-19]

By signing below, I agree with each statement above and release Beyond Potential/ XCel Sports and Fitness from any and all liability for unintentional exposure or harm due to COVID-19.

______________________________________________                _____________________

                             Signature of Participant/ Parent/ Guardian                                          Date

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Beyond Potential Classes/ Programs

Intro to Complete Athlete (101/201): Introductory program to the Alpha Athlete System

$75 + the Alpha Athlete Membership (includes the 3-month commitment with Alpha Athlete Memberships)

Alpha Athlete (102/202): BP’s small group, semi-private, complete training membership (min. 8:1 athlete:staff ratio)  

102 Middle School (ages 12-14)

202 HS/ College (ages 15-up)

(can fluctuate based on experience, maturity, & skill level)

302 FUNdamental Athlete is a special class designed for all youth athletes ages 7-12.

Seasonal Membership Options Per Month (for 3 months or end of each season)

HS/College Classes 202:

M-W-F 4-5pm

T/Th 5-6pm

Sat 12-1pm

MS Classes 102:

M-W-F 5-6pm

T/Th 6-7pm

Sat 12-1pm

FUNdamental Athlete

M/Th 6-7pm

---

Sat 11-12 noon

M

T

W

Th

F

Sat

HS/College Classes 202:

MS Classes 102:

FUNdamental Athlete

Hybrid Sport-Specific Class & Alpha Athlete combo classes

(1.5 hr classes)

______  Lax Xtreme (111/211): Lax specific

______  Diamond Athlete (121/221): Baseball & Softball specific

______  Triple Threat (131/231): Basketball specific

______  Ultimate Soccer (141/241): Soccer specific

______  Complete Football (151/251): Football & position specific

Class Packages

Add-Ons (per class)

5 Classes

10 Classes

Walk-ins

AA Club Only

FY Members

$200

$350

$45

$30

$20

Personal Training

______  Alpha Athlete (102/202)

______  Lax Xtreme (111/211): Lax specific

______  Diamond Athlete (121/221): Baseball & Softball specific

______  Triple Threat (131/231): Basketball specific

______  Ultimate Soccer (141/241): Soccer specific

______  Complete Football (151/251): Football & position specific


Team Training

Sport:__________________________

Number of Athletes:____________

Number of Coaches:____________

Length of Sessions:_____________

Sessions per Week:______________

Start Date:______________________

End Date:_______________________


Ultimate Athlete Class Procedures

https://bp.sites.zenplanner.com/sign-up-now.cfm

Seasons =  Fall- Sept to Nov, Winter- Dec to Feb, Spring- March to May, Summer- June to Aug

Website: www.beyondpotential.net

Email: beyondpotential@info.net

SUMMER 2020 Ultimate Athlete

Mon

Tues

Wed

Thurs

Fri

Sat

11-12pm

Youth Complete Athlete

Youth Complete Athlete

Youth Complete Athlete

Youth Complete Athlete

12-1pm

MS/HS Complete Athlete

MS/HS Complete Athlete

MS/HS Complete Athlete

MS/HS Complete Athlete

4-5pm

MS/HS Complete Athlete

MS/HS Complete Athlete

5-6pm

Youth Complete Athlete

Youth Complete Athlete

Youth Complete Athlete ~  ages 7-12

MS/HS Complete Athlete ~ ages 13-above

(classes are also grouped by skill, experience, & overall numbers)

Individualized One-on-One Training for Beginners, Specialty Training, or a more Focused, Personalized Program:

Personal Training (One-on-One Training/ Strength-Speed-Position Specific)

5 Pack= $400 ($80)                       10 Pack= $750 ($75)

Monthly Memberships:  Basic Personal (4x/ month)=  $250/ month Standard Personal (8x/ month)=  Elite Personal (unlimited access*)=  

Personal Training Membership (includes minimum 3 month commitment)

Elite: $600 (12x/mth)  Standard PT: $440 (8x/mth)  Basic PT: $240 (4x/mth)

Group/Team Complete Athlete (Sport Specific)

Beyond Potential provides an individualized Team Training opportunity designed specifically for that Team’s Needs, Goals, & Ability Level.

Affordable Pricing based on number of athletes & classes.

Take your Team to the Next Level!!!

*ALL ATHLETES MUST REGISTER/ MAKE PROFILE ON-LINE IN ORDER TO SIGN-UP FOR CLASSES

https://bp.sites.zenplanner.com/sign-up-now.cfm

email info@beyondpotential.net to discuss the Perfect Program to Fit Your Needs

FREE TRIAL CLASS AVAILABLE!!! (new members only)

https://bp.sites.zenplanner.com/calendar.cfm?CalendarType=FREETRIAL