Plyometric/Shooting Program
Registration Form



               Player’s Name: ________________________________________________________

Address: __________________________   City/State/Zip:______________________

DOB: ________ School: __________ Email: ________________________________

Shirt Size: YS   YM   YL -OR- AS AM   AL   AXL   AXXL (circle one if applicable)

Guardian 1 Name: __________________________ Phone: (h) __________________

(c) _________________ (w) ________________   Email: _______________________

Guardian 2 Name: __________________________   Phone: (h)__________________

(c) _________________ (w) _________________ Email: ______________________

SESSION I

ŹJuly 28 - August 29, 2008
ŹTwo Days.........$175.00            ŹThree Days......$250.00
(Mark the days you would like to attend)
Monday Ź          Wednesday Ź      Friday Ź

SESSION II

Ź September 15 - October 17, 2008
ŹTwo Days.......$175.00            Ź Three Days......$250.00
(Mark the days you would like to attend)
Monday Ź        Wednesday Ź       Friday Ź

ALL CONFIRMATIONS WILL BE MADE VIA EMAIL
Please complete and return this registration form with your non-refundable
registration fee for the approprate session to The Gym of Springfield,
1823 Camp Lincoln Road,Springfield, IL, 62707 before the beginning of the session.