MindLAB Virtual Summer Training Application

1

Which session block are you applying for?* This field is required.

Block A (June 2 – June 25, 6:00–7:30 PM EST)

Block B (July 21 – August 13, 6:00–7:30 PM EST)

Block C (August 18 – September 10, 6:00–7:30 PM EST)

2

Your Time Zone* This field is required.

3

If you miss a live session, do you agree to watch the session recording?* This field is required.

I agree to watch the recording if I miss a live session

4

Full Name* This field is required.

First Name

Last Name

5

Preferred Name (if different)

6

Date of Birth* This field is required.

Date

7

Age* This field is required.

8

Email Address* This field is required.

example@example.com

9

Phone Number* This field is required.

Please enter a valid phone number.

10

Would you like to receive text reminders?

Yes, please send me reminders via text message.

No, email reminders only.

11

Location (City, State/Province, Country)* This field is required.

12

T-shirt Size* This field is required.

13

Parent/Guardian Full Name* This field is required.

First Name

Last Name

14

Parent/Guardian Email* This field is required.

example@example.com

15

Parent/Guardian Phone Number* This field is required.

Please enter a valid phone number.

16

Relationship to Athlete* This field is required.

17

Are you interested in receiving MindLAB updates and resources?* This field is required.

Yes

No

18

Secondary Emergency Contact (optional)

First Name

Last Name

19

Emergency Contact Phone Number (optional)

Please enter a valid phone number.

20

Primary Sport* This field is required.

21

Current Competition Level* This field is required.

22

Current Team/Club (if applicable)

23

Select up to 3 mental performance goals you wish to focus on:* This field is required.

Improve focus and concentration

Build confidence

Manage performance anxiety

Enhance motivation

Develop resilience

Recover from setbacks

Improve team communication

Other

24

In your own words, describe your top mental performance goal for this summer:* This field is required.

25

Briefly share any mental performance challenges you currently face:* This field is required.

27

How would you describe your commitment to participating in all sessions?* This field is required.

Very committed – I plan to attend every session.

Somewhat committed – I may miss a session or two.

Unsure – my schedule may change.

28

How do you prefer to learn? (Select all that apply)* This field is required.

Live instruction

Small group discussion

Hands-on activities

Independent reflection

Other