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Apply for Remote Training (Not In-Person)
Once you've applied, Scott will be in contact with you within 72 hours.
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* Indicates required question
Email
*
Your email
Is the athlete 12 or older? Age minimum for remote coaching is 12.
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Yes
No
Player Name & Date of Birth
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Your answer
Your Name
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Your answer
Players under 18 must have their parents fill out this form in order to be contacted. If you think you have an exception, please email support@healthyvelo.com. Which describes you?
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I’m a Player under 18
I’m a Player 18 or older
I’m a Parent/Guardian
I’m a Coach
If you’re under 18 and/or would not be paying for your training, are your parents filling out the form with you and would be present on the call if we take the next steps forward?
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Yes
I’m the parent/guardian
I’m over 18 and pay for my own training
Best phone number for you?
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Your answer
May I text this number? I need to know this number can receive texts and that you'll repsond.
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Yes
No
Yes, but prefer phone calls only please.
What City, State do you live in? This is important because of the time zones with my clients across the country.
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Your answer
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