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PROEX FOOTBALL
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Small Group & 1on1 Sessions
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High Performance Program (15+)
Youth Performance Program (13-15)
Junior Performance Program (9-12)
High Performance Camps
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Program acceptance form
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Only complete this form if you have received an email with the link
Players First Name
Players Last Name
Parent/Guardian Email
Parent/Guardian Phone Number
Players DOB
Are there any of the weekly sessions you are unnavailable for?
Would you like a 1on1 session as part of the program? Please note - you must be available to train early morning midweek for your session. This will be an additional $50 for a 1on1 session.
Yes
No
If you selected yes above, please select all available options for 1on1 sessions
Monday 6:45am - 7:45am
Tuesday 6:45am - 7:45am
Wednesday 6:45am - 7:45am
Thursday 6:45am - 7:45am
Friday 6:45am - 7:45am
Any medical conditions?
Anything else we should know?
Payment options
*
Required
Pay in full by April 18
Pay in 2 installments, April 18 & May 2
Do you consent to being filmed and posted on social media for advertising purposes?
*
Required
Yes
No
By checking this box, you agree to our cancellation/refund policy
Send
Thanks for completing!
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