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Name:__________________________________________________________________
Guardians Names: _________________________________________________________
Address:________________________________________________________________
City:___________________________________________State:______Zip:___________
Email address:______________________________ Phone:_________________________
School: ___________________________________ Sport: _________________________
T-Shirt Size S M L
XL XXL XXXL
Years completed in the Be Athletic Program: ______________________________________
Referred By: ______________________________________________________________
Email address: _______________________________ Phone: ________________________
Please place a 1 in your first time preference and a 2 in your
second time preference. Times are subject to change based on enrollment.
Senior Program: Monday through Thursday.__9:15 am __10:00am __10:45am
__11:30am __12:15pm __4:15pm __5:15pm
Junior Program: Two days per week at 7:30 AM. Beginning June 29.___ Monday/Wednesday or ___Tuesday/Thursday
Collegiate Program: For Athletes in our system for at least 4 years or who are in or entering college. Held Monday through Thursday. ___8:30 am or ___4:45pm
Temporary Time Slot: If you are still enrolled in school during the beginning weeks of the program please choose one of the below times for your temporary afternoon time. ___4:15pm ___5:15pm ___7:00pm
A Parent or Guardian Release will be sent upon receipt of application
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