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*
Athlete Grade*

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.
Summer Program Dates*

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.
Payment Options*

PrepaymentWalk-up

Products and Payment

Full Program Prepayment Discount

Receive one free session for pre-purchase of program.

$350.00

1 Session

Single session purchase.

$50.00

2 Sessions

Two sessions athlete can attend throughout the season.

$100.00

3 Sessions

Three sessions athlete can attend throughout the season.

$150.00

4 Sessions

Four sessions athlete can attend throughout the season.

$200.00

5 Sessions

Five sessions athlete can attend throughout the season.

$250.00

6 Sessions

Six sessions athlete can attend throughout the season.

$300.00

7 Sessions

Seven sessions athlete can attend throughout the season.

$350.00

8 Sessions

Full program purchase.

$400.00

Total

$0.00

Credit Card

Signature for Payment*
Prepayment Options

Please use the Venmo below to prepay your session(s).
Prepayment Options*

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.
How Did You Find Defensive Line Academy?*

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

Credit Card

Prepayment Options

Release of Liability

Code of Conduct

How Did You Hear About Us?