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Summer 2019 - SPI Athletic Performance Training PLUS
Use this form to enroll in the Summer Sports Performance Institute APT+ Program
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Athlete's Email Address
Your answer
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Athlete's School *
Your answer
Athlete's Grade (next year)
Athlete's Sports:
Your answer
Injuries, past or present?
Dates, Event, Description, Treatment, Current Status
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Phone Number *
Your answer
Parent Email Address *
Your answer
Mailing Address
Your answer
Is the participating athlete a MAC Member? *
Please choose what session(s) the athlete will be participating in. High School: Rising 9-12 graders, Monday through Thursday. Middle School: Rising 6-8 graders, Tuesday & Thursday.
Time Choice
Please choose the time the athlete will attend during each session. If they are not attending a given session, leave blank.
Session 1 (6/25 - 7/19)
Session 2 (7/23 - 8/16)
Session 3 (8/23 - 9/2) - HIGH SCHOOL ONLY
Middle School - T&TH - 800-900a
(Session 1 FULL) Middle School - T&TH - 400-500p
Middle School - M&W - 400-500p
High School 800-930a
High School 915-1045a
High School 415-545p
Shirt Size *
Adult Sized - sizing runs big
Method of Payment? *
If you choose credit card, cash or check, please bring the payment to the front desk as soon as possible with attention to Matt Pudvah. Your MAC account will be charged if payment is not received a week from session start date.
Payment Schedule *
During APT+, The Manchester Athletic Club may take photographs or video to use for future Sports Performance Institute promotions, flyers, and social media. *
How did you hear about the Summer SPI APT+ Program *
Required
If you know you will miss any dates due to travel/vacation/etc. Please list them below.
Your answer
Optional Comments:
Your answer
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