A&h Athletics Registration
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A&H Athletics Personal Information Sheet Runner Information: Last Name: ______________________________________ First Name: __________________________________________________ Male _______ Female _______ ________________________
Age __________ Birth date ___________________Phone
Grade in Fall 2009 _______________ School ___________________________ Email Address: ________________________
Contact Parent: Last Name: __________________________________First Name: ___________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address ______________________________________________________________________________ _________________ City/State/Zip ______________________________________________________________________________ __________
Emergency Contact: Last Name: ____________________________________ First Name: _________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address ______________________________________________________________________________ _________________ City/State/Zip ______________________________________________________Relationship: __________________
Registration Runners Name: ___________________________ Years of Running Experience: _________ Check Box for Session(s) Attending: Session 1- Endurance Session 2- Nutrition Session 3- Hill Running Session 4- Strides/Form Session 5- Weight/Strength Training Session 6- Speed Work
June 6, 2009 June 13, 2009 June 20, 2009 June 27, 2009 July 11, 2009 July 18, 2009
Session 7- Core Training
July 25, 2009
Session 8- Stretch/Recovery
August 1, 2009
Session 9- Psychology
August 15, 2009
Full Summer Package
All Sessions Included
$50 $50 $50 $50 $50 $50 $50 $50 $50 $400
ADDITIONAL SERVICES Email, homework, training logs
All Summer
Email Service Only
All Summer
Homework Only
and
Training
Log All Summer
“BEST DEAL” All Summer Full Summer Package + Email, homework, training logs TOTAL Registration Fee Grand Total
$175 $75 $75 $ 550 $ + $15 $
50% of the total cost is due at the time of registration. The remaining balance is due by June 27, 2009. Only Cash and checks are accepted. Checks may be payable to Andrea Johnson or Heather Scott. Cancellations must be made one week in advance. There will also be a 50% cancellation fee.
Age __________ Birth date ___________________Phone
Grade in Fall 2009 _______________ School ___________________________ Email Address: ________________________
Contact Parent: Last Name: __________________________________First Name: ___________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address ______________________________________________________________________________ _________________ City/State/Zip ______________________________________________________________________________ __________
Emergency Contact: Last Name: ____________________________________ First Name: _________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address ______________________________________________________________________________ _________________ City/State/Zip ______________________________________________________Relationship: __________________
Registration Runners Name: ___________________________ Years of Running Experience: _________ Check Box for Session(s) Attending: Session 1- Endurance Session 2- Nutrition Session 3- Hill Running Session 4- Strides/Form Session 5- Weight/Strength Training Session 6- Speed Work
June 6, 2009 June 13, 2009 June 20, 2009 June 27, 2009 July 11, 2009 July 18, 2009
Session 7- Core Training
July 25, 2009
Session 8- Stretch/Recovery
August 1, 2009
Session 9- Psychology
August 15, 2009
Full Summer Package
All Sessions Included
$50 $50 $50 $50 $50 $50 $50 $50 $50 $400
ADDITIONAL SERVICES Email, homework, training logs
All Summer
Email Service Only
All Summer
Homework Only
and
Training
Log All Summer
“BEST DEAL” All Summer Full Summer Package + Email, homework, training logs TOTAL Registration Fee Grand Total
$175 $75 $75 $ 550 $ + $15 $
50% of the total cost is due at the time of registration. The remaining balance is due by June 27, 2009. Only Cash and checks are accepted. Checks may be payable to Andrea Johnson or Heather Scott. Cancellations must be made one week in advance. There will also be a 50% cancellation fee.
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