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Andrews Sport Conditioning: Online Training Registration Form
Each athlete must complete the below for official registration, one form per athlete attending.
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* Indicates required question
Athlete Name:
*
First & Last Name
Your answer
Player Date of Birth:
*
Month/Day/Year
Your answer
Parent(s) Name(s):
First & Last Name (List Names)
Your answer
Emergency Contact Number:
*
Please Provide Area Code - Mobile Preferred
Your answer
Secondary Emergency Contact Number:
Please Provide Area Code - Mobile Preferred
Your answer
Email:
*
We will be sending all information and schedules via email - please list all emails here if you require more than one email to be sent
Your answer
Address:
*
Your answer
City:
*
Your answer
Province/State:
*
Your answer
Postal Code/Zip Code:
*
Your answer
Program Selection:
*
Online Training Program 4 Week Programming (Program Only): $99.97 + hst (4 days per week)
Online Training Program 4 Week Program with 1 hour weekly coaching: $149.97 + hst (5 days per week
Online Training Program 4 Week Program with daily coaching: $199.97 + hst (5 days per week)
Other:
Athlete Sport of Play:
Please list your primary sport of play below
Your answer
Current Team:
Please also list level of play here
Your answer
Have you attended ASC before?
*
Yes
No
If you selected YES, please list your past ASC program(s):
Please list below
Your answer
Previous Injuries:
*
Please list any injuries that may need to be considered when generating a personalized training plan.
Your answer
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