Strength and Conditioning Registration

Athlete First Name(Required)

First

Athlete Last Name(Required)

Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

NENSA member number(Required)

If you are not a NENSA member, please go to https://nensa.net/membership/ and purchase a membership in order to continue registration. Adult membership is $55. There is a discounted membership for seniors and juniors.

Do you have any health concerns that coaches should know about including any heart conditions, high blood pressure, osteoporosis, or back problems?(Required)

Have you participated in a strength program in the past? If so, when, and what did the programming include?(Required)

What class(es) would you like to register for?(Required)

Tuesday evenings 6-7 PM

Wednesday mornings 7-8 AM

Friday mornings 7:30-8:30 AM

We realize you may not be able to attend every class you register for, but it helps us to get an idea of how many people might attend each class.

Emergency Contact First Name(Required)

First

Emergency Contact Last Name(Required)

Last

Emergency Contact Phone(Required)

Signature(Required)

Would you rather pay online for a specific number of classes or pay in person with cash or check?(Required)

Strength Class

Price: $15.00

Choose a specific number of classes to pay for at one time. Sign in at each class

Total

Credit Card

Card Details

Cardholder Name

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