Please enable JavaScript in your browser to complete this form.Trainee Name (First and Last) *Legal Guardian Name (First and Last) *Email *PhoneGrade LevelSelect One4th and 5th GradeMiddle School (6th-8th)High School (9th-12th)GenderSelect OneMaleFemaleTeam NameEmergency Contact NameEmergency Contact Phone *Choose Your Training Block (select one option) Middle School Mon./Wed 5:30-6:30PM or High School Tues./ Thurs. 5:30-6:30PM Coaches Add-On Tues/Thurs 5:30am-6:30amUse Dropdown to Select One - $309.008 Weeks Middle School (16 Sessions) - $309.008 Weeks High School (16 Sessions) - $309.00Coaches Training (16 sessions) - $160.00Optional Add-On Football Skill Position SpecificOptional Add-On Skill Specific Use Dropdown to Select - $0.00Lineman Specific (Per Month) - $280.00Quarterback Specific (Per Month, 8 Sessions) - $280.00Liability Wavier *AgreeI hereby, for myself, my heirs, my assigns executors and administrators, waive and release any and all right and claims for damages I may have against STRENGTH THROUGH MOVEMENT, or their respective agents or employees, and any facility used for performance training, for any and all injuries which may be suffered by myself or my child in connection with his/her participation in group or individual training whether caused by negligence of such parties or otherwise. Check Box to confirm that you have read and understand the foregoing.Media Release *AgreeI, [participant listed above], hereby grant [Strength Through Movement and QB Evo] the right to use and publish any photographs, videos, audio recordings, and other media recordings in which I (or my child) appear or speak, for any purpose including but not limited to publicity, promotion, advertising, and marketing, in perpetuity. I have read and understood this release and waiver before agreeing to it, and I am of legal age and have the authority to grant the rights herein.Total$0.00Stripe Credit Card *Custom Captcha *Type the letter "a" below Submit