Speed Development Program Registration & Payment

Speed Development Program Registration & Payment
Please complete this form to finalize your registration and payment for the Speed Development Program. A confimration email will be sent after you register where you can sign up for upcoming sessions.

**If you are registering more than one athlete please complete a seperate form for each one.

Questions? Please contact Blake at blake@seligspeed.com.
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Athlete Name

First NameLast Name
Session Package Selection
Payment Options

Venmo: @Blake-Selig

Zelle: Blake Selig (805) 832-9152

Credit/Debit Card: Please use the checkout options below

**Please include the athlete's name(s) when using Venmo or Zelle

Standard

Includes 8 training sessions.

$240.00

Preferred

Includes 12 training sessions.

$325.00

Premium

Includes 16 training sessions.

$400.00

Total

Payment Methods

Debit or Credit Card

ACH Bank Transfer