Parent/Guardian Name *

First Name

Last Name

Emergency Number *

For Parent/Guardian listed above.

(###)

###

####

Athletes Name *

First Name

Last Name

Athletes Date of Birth *

MM

DD

YYYY

Which week(s) would you like to register for?

You can select one or more options.

July 2-5

July 8-12

July 15-19

July 22-26

What is your level of football experience? *

Beginner

Intermediate

Advanced

What is your level of strength training experience? *

I'm green

I've dabbled

I'm pretty experienced

I've lifted for a few years with coaches

Do you have any injuries that need additional time/focus? *

Yes

No