2019-2020 High School 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 sport(s) does the athlete participate in (if any)
Your answer
Injuries (Past or Current)
Include date, Treatment, Current Status
Your answer
Is the participating athlete currently 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 will you be purchasing? Please indicate the specific number. (you may buy in any amount. Please reference the chart below for pricing. If paying as you go please type "class by class") *
Your answer
To find your total amount due - multiply the number of sessions above by cost in the chart.
Planned date for first class (if unknown, leave blank)
MM
/
DD
/
YYYY
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 - to get your total multiply the number of sessions you are purchasing by the cost in the chart. If paying other than Charge to MAC account, we will also reach out to you with this amount. *
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
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service