(Youth / Modified Players) Registration Form

Name of Athlete:

Parent / Guardian Name:

Address:

Phone:

Age:

Height:

Weight:

Email:

What grade are you in?

Which sport(s) do you participate in?

Which school do you attend?

What are your short term goals?

What are your long term goals?

List any medical concerns:

Emergency contact name & phone number:

Which Position do you play?

T Shirt Size:

I'm interested in:

Both TNT & PCU for (Youth & Modified Players)

Just TNT - Option:

Just PCU - Option: (Youth & Modified Players)

One on One Sessions: (Contact for availability)

TNT Training Session Options: (At 1025 Robinson Hill Rd JC NY)

TNT July 25th @$30.00 (4p - 5p)

TNT August 1st @$30.00 (4p - 5p)

If paying as you go, list dates you plan to attend: for (Youth & Modified Players)

One on One price: (Contact for availability)

$65.00 per session

TNT & PCU Registration Form