Power Step Linebacker Academy

Power Step Linebacker Academy

Technically Sound, Dominant Linebackers
Quick Question

Please answer the question below before you get started.
YesNo
Athlete Information

Please enter the following information regarding the athlete participating in LBA.
Athlete Name*
Athlete Age*
5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeOther
School or Team Athlete Plays For*
Youth athletes only enter team please.
Parent/Guardian Information

Please enter parent/guardian information below (if under 18).
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Medical History

Please enter any allergies and/or significant medical information below.
Medical Information and/or Allergies*
If athlete does not have any important allergies or medical information that needs to be shared, please enter "None".
Emergency Contact

Please enter two emergency contacts.
Emergency Contact Name 1*

First NameLast Name
Emergency Contact Phone 1*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name 2*

First NameLast Name
Emergency Contact Phone 2*
Please enter a valid phone number.Format: (000) 000-0000.
Session Dates

Please select the session date(s) you or your athlete will be attending.
SpringSummer
Session 1 - April 5th, 2026Session 2 - April 12th, 2026Session 3 - April 19th, 2026Session 4 - April 26th, 2026Session 5 - May 3rd, 2026Session 6 - May 17th, 2026Session 7 - May 31st, 2026Session 8 - June 7th, 2026
Session 1 - June 14th, 2026Session 2 - June 28th, 2026Session 3 - July 12th, 2026Session 4 - July 19th, 2026Session 5 - July 26th, 2026Session 6 - August 2nd, 2026Session 7 - August 9th, 2026Session 8 - August 16th, 2026
Payment

Please select the number of sessions you wish to purchase and a payment option.
PrepaymentWalk-up
1 Session - $50.002 Sessions - $100.003 Sessions - $150.004 Sessions - $200.005 Sessions - $250.006 Sessions - $300.007 Sessions - $350.008 Sessions - $400.00
Full Season Registration Discount - $350
Returner Discount - $300.00
Signature For Payment*

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By signing this form you are agreeing to pay for all alloted sessions you or your athlete will be participating in.
Prepayment Options

Please select a prepayment option.
Venmo: @Hall-EdmondsCash App: $halledmonds
Release of Liability

Please carefully read all content below.
Code of Conduct

Please carefully read all content below.
How Did You Hear About Us

We would like to know how you found out about Linebacker Academy, please answer the question below.
Social MediaFrom Someone I KnowCoachYouth Football OrganizationPower Step Tackling Academy VanOther
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Power Step Linebacker Academy

Quick Question

Athlete Information

Parent/Guardian Information

Medical History

Emergency Contact

Session Dates

Payment

Prepayment Options

Release of Liability

Code of Conduct

How Did You Hear About Us