Sign up for MyHuddle

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Note: if you are under 18, this form should be completed by a parent/guardian

Athlete's First Name *

Athlete's Last Name *

Athlete's Cell Number *

Athlete's Email Address *

Athlete's Gender *

Female

Male

Prefer to self-describe

Prefer not to disclose

Athlete's sport(s) - if multiple, list top 3 *

Name of school that the athlete attends *

Athlete's zip code *

Athlete's Date of Birth *

YYYY

For being an early member, we are offering a special membership price of just $25 / week through the end of 2020. The plan gives you biweekly 30-mins video chats, on-demand text messaging, and weekly on-demand digital resources. *

Note: It is our mission to make mental coaching accessible and affordable to every student-athlete. This current pricing is more than half off traditional services. If this pricing is still out of your budget, let us know and we'll work with you to find a solution.

Yes, I'm ready to sign up for $25 per week

Other:

We recommended using MyHuddle for at least 4 weeks to be able to experience its benefits. If accepted into the pilot, would this work for you? *

We are asking participants to make this commitment due to limited spots currently available in the pilot.

Yes, 4 weeks works for me

No, I cannot make this commitment right now - add me to the waitlist

Other:

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