Success Performance Training - Academic & Athletic Excellence
*Please indicate in the comment section if you are joining a group training program.
Registration Application
Today's Date
Training Location
Choose Program
Parent/Guardian Full Name
Parent/Guardian Full Name
Address
Email
Home Phone
Cell Phone
Emergency Contact (Name & Number)
Student/Athlete Full Name
Date of Birth
Gender
Age
Current Grade Level
Height
Weight
Uniform Sizes (top, bottom, t-shirt
Desired Start Date
Prior School (s) / Running Experience, if Applicable
Personal Goals/ Comments /Other Important Information:
Office Hours:
Mon -Friday: 7AM - 7PM
Saturday & Sunday: By Appointment Only

 

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