ATC Summer Performance Program Registration
Reserve your athlete’s spot and complete payment to secure their place in the program.
Athlete Information
Athlete Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Gender
Male
Female
Sport(s) Played
Basketball
Soccer
Baseball
Softball
Track & Field
Volleyball
Football
Tennis
Swimming
Other
School / Team
Current Grade Level
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College
Other
T-Shirt Size
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Other
Parent / Guardian Information
Parent / Guardian Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical / Liability Information
Does the athlete have any injuries or medical limitations?
*
Yes
No
If yes, please explain
Allergies / Medical Concerns
Acknowledgments
*
I understand athletic training involves inherent physical risk and I voluntarily allow my athlete to participate in ATC’s Summer Performance Program.
I authorize ATC to use photos/videos of my athlete for marketing purposes.
My Products
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Performance Program (Regular Price) After May 1st
Member Price
$195.00
$
195.00
Quantity
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Performance Program (Regular Price) After May 1st
Non Member Price
$250.00
$
250.00
Quantity
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9
10
Item subtotal:
$0.00
$
0.00
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