First and Last Name*

Mobile number*

Email address*

Address*

Apartment, suite or unit number

City*

Athletes Age*

Athlete Name*

Quality in Character: What academic/athletic awards has your athlete received in the past 2 years? (Please list community service participation AND athletic honors)*

What is your childs current GPA?*

School*

Sport*

Club

*NEW Youth Training Program *Ages 9-12

IN-SEASON YEAR-AROUND TRAINING AGES 13+ (August 2023 - May 2024): If selected, please choose your top 2 desired schedule options:

SUMMER 2024 TRAINING

How did you hear about us? (Do you have any teammates or friends who currently train at Uplifted, if so who?)*

Questions or Comments.

Please list any past or present physical injuries*