AthletIQ Performance Lab
Program Registration
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Player's Name
*
First Name
Last Name
Player's Birthday
*
-
Month
-
Day
Year
Date
Player's Grade Level
*
Kinder
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Choose Your Recurring Payment Option (Training includes up to 3hrs/week: $75/hr or Monthly = $600). Receive additional discounts with a 6 or 12-month commitment paid up-front.
prev
next
( X )
MONTHLY
You will be automatically charged $600 every month.
$
600.00
for each
month
6-Month Commitment
You will be automatically charged $1995 every 6-months.
$
1,995.00
for each
six months
12-Month Commitment
You will be automatically charged $2995 every 12-months.
$
1,995.00
for each
year
Register
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