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Client Registration Form (Speed and Power Athletes ONLY)
This form is for athletes who are interested in developing speed, coordination, power and or flexibility for a speed and power sport.
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* Indicates required question
Email
*
Your email
Athlete's Name
Your answer
Athlete's Date of Birth
MM
/
DD
/
YYYY
Sport Played
Your answer
Position Played if applicable
Your answer
Are you currently a member of a team?
Yes
No
Clear selection
Are you a student athlete and or under contract (NCAA or Professional League)
Yes
No
Clear selection
I am interested in building capacity in:
Speed
Power
Flexibility
Coordination/Agility
Endurance
Coaching/Mental Development/Success and Performance Counseling
My goal is to? By when?
Your answer
How often are you looking to train?
Daily
3-5 times per week
1-3 times per week
Clear selection
What training modality are you interested in?
One on One
Small Group
Virtua;
Hybrid
Individual/Program Design Only
Clear selection
I would love to hear from you, when can we chat?
MM
/
DD
/
YYYY
What time works best for you?
Choose
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
A copy of your responses will be emailed to the address you provided.
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