2018-2019 Athletic Performance Training Enrollment
Please fill out this form to enroll in SPI's Athletic Performance Training Program. Once you enroll someone will reach out to you about attending your first class.
Email address *
Athlete/Parent/Guardian Email (if different than above):
Your answer
Athlete's First Name: *
Your answer
Athlete's Last Name: *
Your answer
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Athlete's School and Grade *
Your answer
What Class time will you be joining
Injuries (Past or Current)
Include date, Treatment, Current Status
Your answer
Is the participating athlete a member at the MAC? *
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Parent/Guardian Phone Number: *
Your answer
Mailing Address
Your answer
How many classes do you plan to purchase? Please indicate the specific number. (you may buy in any amount. Please reference the chart below for pricing.) *
Your answer
During SPI APT, The Manchester Athletic Club may take photographs or video to use for future Sports Performance Institute promotions, flyers, and social media. *
*
Required
Payment Method *
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
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