Power Step Defensive Line Academy

Defensive Line Academy

Own - Maintain - Attack!
Athlete Information

Please enter the following information regarding the athlete participating in DLA.
Athlete Name*

First NameLast Name
Athlete Age*
5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeOther
School/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
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Medical History

Please enter any allergies 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.
Session 1 - May 31st, 2026Session 2 - June 7th, 2026Session 3 - June 14th, 2026Session 4 - June 28th, 2026Session 5 - July 12th, 2026Session 6 - July 19th, 2026Session 7 - July 26th, 2026Session 8 - August 2nd, 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 Prepayment Discount - $350.00
Signature for Payment*

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Prepayment Options

Please use the Venmo below to prepay your session(s).
Venmo: @PSTA713
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 Defensive Line Academy, please answer the question below.
Social MediaFrom someone I knowCoachYouth Football OrganizationThe Power Step Tackling Academy VanOther
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Defensive Line Academy

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?