Velocity Sports Lab

Speed & Agility Training Registration Form

Name of Athlete (Required)

First

Last

Athlete’s Date of Birth (Required)MM slash DD slash YYYY

Athlete's Grade & Age (Required)

Home Address (Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

In what organized sports does your child participate throughout the year? (Required)

What goals does your athlete have/what do they hope to gain from training at Velocity? (Required)

Which do you plan to/did you purchase? (Required)

Monthly Class Pass 10-Class Punch Card Drop-In Classes

In which class will your child participate? (Required)

Mini Speed Stars (Ages 4-6), Mon. & Wed., 4-4:40 Junior Speed Builders (Ages 6-9), Mon. & Wed., 4:45-5:30 Youth Performance (Ages 9-13), Mon. & Wed., 5:30-6:30 Teen/High School Performance (13+), Mon. & Wed., 6:30-7:30

Parent(s) Name(s) (Required)

First

Last

Parent(s) Phone Number(s) (Required)

Parent Email (Required)

Does your child have any medical conditions or other physical concerns of which we should be aware?

Have you filled out our waiver? Each athlete MUST have a waiver on file in order to participate in training. (Required)

Yes No

Not yet? Complete the waiver.