Weekly Academy Enrollment Form

Weekly Academy Membership Enrollment Form

Please fill out the form below... No payment is required at this time.
Players Full Name*

First NameLast Name
Players First Name*
Players Last Name*
Select IF you are a goalkeeper

Yes, I would like GK specific sessions
We have TWO training locations. Please select your preferred Location
Players Date of Birth*

MonthDayYear
Parent FIRST Name*
First Name
Parent LAST Name*
Last Name
Parent Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Street Address*
City*
State*
Zip Code*
Country*
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Players Gender*

BoyGirl
Current Youth Club Affiliation*
Team's Current League Placement (I.e. ECNL, GLC, OCL)*
Level of Programming, OH*
number of sessions per week
Level of Programming, KY*
number of sessions per week
Selected Session (Age Group)
Which training cycle would you like to begin?*

Please enroll me immediately in the next available training cycle.Cycle IV (September 30 - October 27, 2024Cycle V (October 28 - November 24, 2024Cycle VI (November 25 - December 22, 2024Cycle VII (January 6 - February 2, 2025Cycle VIII (February 3 - March 2, 2025)Cycle IX (March 3-30, 2025)Cycle X (March 31 - April 27, 2025)Cycle XI (April 28 - May 25, 2025Cycle XII (May 26 - June 22, 2025
(KY) Which training cycle would you like to begin?*

Immediately, please enroll me in the next available training cycle.Cycle IX (March 4 - 31, 2024)Cycle X (April 1 - 28, 2024)
Scheduling Preference (choose up 2 days you are NOT available for training)

Do not schedule MondaysDo not schedule TuesdaysDo not schedule WednesdaysDo not schedule ThursdaysDo not schedule FridaysDo not schedule SaturdaysDo not schedule Sundays
Lexington: Scheduling Preference (choose up to 1 day you are NOT available for training)

Do not schedule MondaysDo not schedule TuesdaysDo not schedule Thursdays
How did you hear about us?*
If a specific person recommended you, please share their name with us, so that we can thank them.
Would you like to add 5v5 "On Fire" League Games to your membership? (U7 - U12 Only)*
Would you like to add SAQ, Strength &/or Athletic Training to your membership?*
SAQ, Strength & Athletic Training Program

A well-rounded approach to your child's overall development
Players First Name*
Players Last Name*
Players Date of Birth*

MonthDayYear
Parent FIRST Name*
First Name
Parent LAST Name*
Last Name
Should be Empty:

Weekly Academy Membership Enrollment Form

SAQ, Strength & Athletic Training Program