🗓️Monthly Clinic Registration
Speed. Strength. Confidence. For every age.
Athlete Name
*
First Name
Last Name
Date of birth
*
 -
Month
 -
Day
Year
Date
Age
*
Gender
*
School
*
Primary Sport(s)
*
Which age group does your athlete fall into?
*
Youth (ages 8–12)
Middle School (ages 13–14)
High School (ages 15–18)
Parent/Guardian Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Preferred Contact Method
*
Email
Phone
Text
Clinic Selection
Which Monthly Clinic are you registering for?
*
January — Sprint Starts & Acceleration
February — Jumping Mechanics
March — Agility & Change of Direction
April — Core Strength & Stability
May — Max Velocity Mechanics
June — Mobility & Recovery
July — Acceleration Reload
August — Jump Reload
September — Agility Reload
October — Strength & Power
November — Speed & Coordination
December — Mini Combine & Goal Setting
Membership Status
What is your membership status?
*
Unlimited Member (clinic included)
Standard Member ($25 clinic fee)
Drop‑In ($25 clinic fee)
Non‑Member ($40 clinic fee, space permitting)
Emergency Contact
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship to Athlete
*
Medical & Safety Information
Does your athlete have any medical conditions, injuries, or restrictions we should know about?
*
Yes
No
If yes, please explain
*
Is your athlete currently cleared for physical activity?
*
Yes
No (please explain above)
Permissions & Agreements
Checkboxes (Required):
*
I understand this clinic is age‑specific and my athlete will be placed in the appropriate track.
I agree to follow all safety guidelines provided by coaches.
I understand that clinic fees are non‑refundable once registered.
I authorize AHP staff to provide basic first aid if needed.
I consent to non‑identifying photos/videos for progress tracking and program highlights.
Parent/Guardian Full Name
*
Date
*
 -
Month
 -
Day
Year
Date
Continue
Continue
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