* Required Registration Type Selection
Previous EP Athlete
Program - Training Selection (Please Select one of the training options)
Speed, Agility and Quickness
Specialized Training
Elite Training
Performance Testing
Vertical Jump Training
Adult Training
Personal Training (One-on-One)
Sport Specific Clinics
Other Training Request
Sport Specific Training Sessions (Team and Individual Training Available)
Football Training
Basketball Training
Baseball Training
Lacrosse Training
Soccer Training
Volleyball Training
Location Selection
Worldgate Sport and Health Club
Herndon, VA
Skyline Sport and Health Club
Falls Church, VA
Annandale Sport and Health Club
Annandale, VA
Tyson's Corner Sport and Health Club
McLean, VA
Woodbridge Sport and Health Club
Woodbridge, VA
Individual "Only" Registration
Athlete Name:
Athlete Age and Grade:
Athlete Gender:
Team Name or Attending School:
Primary Sport Selection:
How Long has he or she been playing?
Coach Name, Phone Number and Email Address:
Start Date:
Team "Only" Registration
Team Name:
Team Coach Name (Required):
Sport: (Football, Basketball, Baseball):
Team Selection:
Male
Female
Age Group Selection:
U8
U13
U9
U14
U10
U15
U11
U16
U12
U17
Registration and Contact Information (Required)
Parent or Coach Full Name (Required): Payment Responsibility
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Home Phone:
Mobile Phone:
Alternate Phone:
Fax:
*E-mail Address (Required):
How did you hear about Explosive Performance (EP):
Payment Information
Are you a Sport and Health Member?
Credit Card Number:
CC Disclaimer: Credit Card will only be processed if approved or any payment is 15 days past due. EP will send bills out on the 15th of each month
Expiration Date:
Credit Card Authorization Approval:
Yes - I authorize Explosive Performance to process my credit card. Please provide your initials:
Comments
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