BodyCare for Soccer Athlete Registration

Name of Primary Contact for athlete(s) being registered:*

First NameLast Name

Phone Number for Primary Contact*

Please enter a valid phone number.Format: (000) 000-0000.

Email for Primary Conact*

example@example.com

Athlete(s) being registered*

Location*

Class Time & Start Date*

Marietta Class Time & Start Date*

John's Creek Class Time & Start Date*

If 8 or more athletes from a single team register for this class, the team qualifies for free or discounted services, such as free individual wellness assessments, or a free speed class for the team. Would you like us to contact a team coach about organizing additional team members to register for this class?

YesNoPlease contact me directly about these options.

Coach Name

First NameLast Name

Coach Email

example@example.com

Coach Phone

Please enter a valid phone number.Format: (000) 000-0000.

PAYMENT: Please check that the quantity reflects the numbers of athletes being registered.*

BodyCare for Soccer 3wk Series

$300.00 Quantity

2-Pack: BodyCare for Soccer 3wk Series

It is recommended to take the series once every 4-6mo. This option covers 2 BC for Soccer series within a 12mo period

$525.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Equipment Note

BodyCare for Soccer requires the BodyCare Equipment Package. Athletes will receive an Equipment Package after their first registration for any BodyCare class. Athletes are expected to keep (and use!) their Equipment Package for future BodyCare classes, for any sport.

Replacement Equipment (packages or individual pieces) are available for purchase as needed.

BodyCare for Soccer: Athlete Registration