Performance Training Program Registration

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Program

Select all that apply

Performance Training: Tuesdays and Thursdays, 9:00-10:15 am, incoming 7th grade and up

Performance Training Session 1 (6/13 - 7/13, 8 Classes): $200

Performance Training Session 2 (7/18 - 8/10, 8 Classes): $200

Speed Class: Tuesdays and Thursdays, 10:30-11:30 am, incoming 7th grade and up

Speed Training Session 1 (6/13 – 7/13, 8 Classes): $125

Speed Training Session 2 (7/18 – 8/10, 8 Classes): $125

Youth Performance Training: Tuesdays and Thursdays, 12:00-12:45 pm, incoming 4th, 5th, or 6th grade

Youth Performance Training Session 1 (6/13 – 7/13, 8 Classes): $125

Youth Performance Training Session 2 (7/18 – 8/10, 8 Classes): $125

Player Information

Child's First Name*

Child's Last Name*

Child's Gender*

Grade in 2023/24 School Year*

Child's Primary Address*

Street Address Address Line 2 City State ZIP Code

Child's Secondary Address

Street Address Address Line 2 City State ZIP Code

Medical conditions or allergies? (If yes, please explain)*

Parent Information

Primary Parent First Name*

Primary Parent Last Name*

Primary Parent Cell Phone Number*

Primary Parent Email Address*

Secondary Parent First Name

Secondary Parent Last Name

Secondary Parent Cell Phone Number

Secondary Parent Email Address

Emergency Contact First Name*

Emergency Contact Last Name*

Emergency Contact Cell Phone Number*

Waiver

Click here to read the waiver.

Consent*

I acknowledge that I have read and understand the waiver.*

Full Name*

This serves as an electronic signature.

Performance Training Program Registration

Program

Player Information

Parent Information

Waiver

Breakaway Academy
Chaska Campus

Breakaway Academy
Eden Prairie Campus

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