Preparation Fitness Services Registration Form

Preparation Fitness Services Registration Form
Preparation Fitness Services Document (Click to View)

*Payment can either be taken through here or through Venmo:

@preparationfitness
Athlete Information
Player Name*

First NameLast Name
Age of Athlete*
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*
E-mail*
example@example.com
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe
Release of Liability/Waiver
Important: Payment is required at the same time this form is submitted. Failure to make payment at the time of submission will result in the clinic not being booked until payment is received.

By signing and submitting this form, you acknowledge that the required payment has been made in full and understand that incomplete payments will prevent the booking of your requested session.
I have read and agree to the above conditions*

YesNo
Signature*

Powered by Jotform SignClear

My Products