Program Registration Form

Customer Details:

Parent/Guardian Full Name*

First NameLast Name

Athlete’s Name*

First NameLast Name

Phone Number*

E-mail

example@example.com

Training Frequency Preference*

1 Day/ Week Preference (Mon/Wed)

Overall goal for athlete:

Photo & Video Consent: Pedroni Performance occasionally photographs and records short videos during training sessions for marketing and promotional purposes (social media, website, and other promotional materials). Please select one option below:

YES - I give permission for my child to be photographed and/or recorded during training sessions, and for these images/videos to be used by Pedroni Performance for promotional purposes.NO - I do not give permission for my child’s image or videos to be used for promotional purposes.This choice will not affect my child’s participation in the program.

No names or personal information will be shared alongside photos or videos.