EXRT Summer of Speed

EXRT - Summer of Speed
You will need to fill out one registration per child. At the end of the regsitration form you will be taken to our payment portal. Once you have completed the regsitration and payment you can start a new registration form for the next child.
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Male/Female*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Injuries?
REGISTRATION PAYMENT

All multiple dates or option for all 8!
Price

$40 - 6/21/23$40 - 6/28/23$40 - 7/5/23$40 - 7/12/23$40 - 7/19/23$40 - 7/26/23$40 - 8/2/23$40 - 8/9/23$300 - All 8 Sessions
Payment by Venmo, QuickPay, Cash or Check made payable to EXRT Performance

Venmo: @Sean-Trinidad
Zelle: exrt@exrtperformance.com

Please include note with Session Date and Athlete Name
Should be Empty:

EXRT - Summer of Speed