Clone of 🏅Quarterly Mini Combine Registration

🗓️Monthly Clinic Registration

Speed. Strength. Confidence. For every age.
Athlete Name*

First NameLast Name
Date of birth *

MonthDayYear
Date
Age*
Gender*
School*
Primary Sport(s)*
Youth (ages 8–12)Middle School (ages 13–14)High School (ages 15–18)
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
EmailPhoneText
Clinic Selection
January — Sprint Starts & AccelerationFebruary — Jumping MechanicsMarch — Agility & Change of DirectionApril — Core Strength & StabilityMay — Max Velocity MechanicsJune — Mobility & RecoveryJuly — Acceleration ReloadAugust — Jump ReloadSeptember — Agility ReloadOctober — Strength & PowerNovember — Speed & CoordinationDecember — Mini Combine & Goal Setting
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 NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Athlete*
Medical & Safety Information
YesNo
If yes, please explain *
YesNo (please explain above)
Permissions & Agreements
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*

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Date*

MonthDayYear
Date
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🗓️Monthly Clinic Registration

Parent/Guardian Information

Clinic Selection

Membership Status

Emergency Contact

Medical & Safety Information

Permissions & Agreements