STC Speed Academy Registration Form

STC Speed Academy Registration Form
Athlete Information
Athlete Name

First NameLast Name
Athlete DOB

MonthDayYear
Date
Athlete Age
Athlete Gender

Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact
Emergency Contact Name

First NameLast Name
Relationship to Athlete
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Does your athlete have any medical conditions, injuries, allergies, or medications we should be aware of?
Please disclose any information that may affect participation or emergency treatment.

Program
STC Speed Academy Ages 7-13 Aug 3 - Sept 25 Monday's & Wednesday's 4:00 PM $325
Waiver Agreement

I understand participation in athletic training activities involves inherent risks including falls, collisions, muscle strains, sprains, illness, and other injuries. I voluntarily allow my child to participate in STC Speed Academy activities and assume all associated risks.I release and hold harmless Speed Training Co., its coaches, staff, facility partners, and affiliates from any claims arising from participation except in cases of gross negligence or willful misconduct.I certify that my child is physically able to participate.
Photo Release
I authorize Speed Training Co. to use photos or videos of my child for promotional and educational purposes.
Communication
I agree to receive program updates, scheduling notifications, and important communication regarding STC Speed Academy.
Parent Signature
Name

First NameLast Name
Signature

Payment

Fall Cohort 1 2026 (August 3-September 25)

STC Speed Academy

Program Overview: 8-Week Program 2 Sessions Per Week (Monday & Wednesday) Ages 7-13 Maximum 12 athletes (8 Athletes Required) $325 Per Athlete Location: Bigger Than BaseballAlma, Arkansas August 3 – September 25

$325.00 Quantity
Item subtotal:

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Total

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Expiration Month	Expiration Year

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STC Speed Academy Registration Form

Athlete Information

Parent/Guardian Information

Emergency Contact

Medical Information

Program

Waiver Agreement

Photo Release

Communication

Parent Signature

Payment

Fall Cohort 1 2026 (August 3-September 25)