Avera Sports Institute - Acceleration Registration Form

*Required Fields

*Athlete Name:

*Parent(s) Name:

Mailing Address:

*Address:

*City:

*State:

*Zip:

*Main Phone:

(xxx-xxx-xxxx)

Other Phone:

(xxx-xxx-xxxx)

*Birth date:

(xx/xx/xxxx)

*Grade:

*School:

Please list the sports and positions you currently play or will be beginning soon:

Sport 1:

Position:

Sport 2:

Position:

Sport 3:

Position:

*Email Address:

I am registering for the following program(s) (please check):

6 or 8-week Acceleration Sports Training Program

Acceleration Volleyball Camp (April - May)

Acceleration Summer Volleyball League (June - July)

Acceleration Year Round Training Program

Avera Sports Institute/SEBA Father Son Baseball Clinic (April)

Avera Sports Institute/Dakota Gold Soccer Camp (June)

Avera Sports Institute Fundamentals of Sport Camp (June)

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