All fields must be completed before
proceeding to the next step.

Team Name:

League:

Street Address:

City:

State:

Zip:

Athletic Director's Full Name:

Head Coach's Full Name:

Phone Number:

Emergency Phone Number:

Email Address:

In case of cancellation when coach cannot be reached, please contact

Name:	Relationship:	Phone Number:

Please Read and Complete the Following Waiver:

I, the coach/athletic director of the team, agree that I and the registrant will abide by the rules of F.A.S.S.T., LLC, its affiliated organizations, and sponsors. Recognizing the possibility of physical injury associated with physical training associated with speed, agility, and strength training and in consideration for F.A.S.S.T., LLC accepting the applicant for its speed and agility programs and activities (Team Training), I hereby release, discharge and/or otherwise indemnify F.A.S.S.T., LLC, its affiliated organizations, and sponsors, the employees and associated personal, including the owners of fields and facilities utilized for programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the training and/or being transported to or from the same, which transportation I hereby authorize.
Head Coach's Full Name:
Date:
By selecting this box, I authorize consent with an electronic signature and agree to the terms of the waiver:

Enter the Number of Athletes to be Trained: (Maximum Number of Players is 100)

Select a Training Package:

National Championship Package

• 1 Hour Sessions - 3 days per week
• $40 Weekly Cost per Athlete

Select Number of Weeks:

State Championship Package

• 1 Hour Sessions - 2 days per week
• $30 Weekly Cost per Athlete

Select Number of Weeks:

League Championship Package

• 1 Hour Sessions - 1 day per Week
• $20 Weekly Cost per Athlete

Select Number of Weeks:

If Other Please Specify: