Hybrid Session Registration
Position and Tackling Training
Athlete Information
Please enter the following information regarding the athlete participating.
Athlete Name
*
Athlete Age
*
Athlete Grade
*
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
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 Name
Last 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 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 Name
Last Name
Emergency Contact Phone 1
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name 2
*
First Name
Last 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.
Program Dates
*
Session 1 - April 24th, 2026
Session 2 - May 1st, 2026
Session 3 - May 8th, 2026
Session 4 - May 15th, 2026
Session 5 - May 29th, 2026
Session 6 - June 5th, 2026
Session 7 - June 12th, 2026
Session 8 - June 19th, 2026
Session 9 - June 26th, 2026
Session 10 - July 10th, 2026
Session 11 - July 17th, 2026
Session 12 - July 24th, 2026
Payment
Please select the number of sessions you wish to purchase and a payment option.
Payment Options
*
Prepayment
Walk-up
Sessions
*
1 Session - $75.00
2 Sessions - $150.00
3 Sessions - $225.00
4 Sessions - $300.00
5 Sessions - $375.00
6 Sessions - $450.00
7 Sessions - $525.00
8 Sessions - $600.00
9 Sessions - $675.00
10 Sessions - $750.00
11 Sessions - $825.00
12 Sessions - $900.00
Full Season Prepayment Discount
Full Season Prepayment Discount - $825.00
Signature for Payment
*
Prepayment Options
Please select a prepayment option.
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 heard of Power Step Football Academy. Please answer the question below.
How Did You Hear About Power Step Football Academy?
*
Social Media
Someone I know
Coach
Youth Football Organization
Power Step Tackling Van
Other
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