Athlete First Name *

Athlete Last Name *

Athlete Phone *

Athlete Email *

Athlete Date of Birth *

Parent / Guardian Full Name *

Parent / Guardian Phone Number *

Parent / Guardian Email *

Street Address

City

State

Referred by *

What School do you Attend? *

List the Sport(s) you Play *

Gym Training Information

Preferred Elevate Gym Location *

Elevate Mount Pleasant

Elevate West Ashley

Elevate Downtown Charleston

Preferred Training Time of Day *

Morning

Afternoon

Evening

What are your Goals with Training? *

Medical Information

Relevant Surgical or Injury History *

Current Injuries or Regions of Pain? *

Emergency Contact Phone *

Emergency Contact Name & Relation *

Additional Information you Would Like for Us to Know *

Wavier and Release, Assumption of Risk Agreement and Parental Indemnification Agreement

I agree to the above Waiver and Release, Assumption of Risk Agreement and Parental Indemnification Agreement

Cancellation Policy

At Elevate Sports Performance, we strive to provide the highest level of service and training to our clients. To ensure a fair and efficient scheduling process, we have implemented the following cancellation policy: 1. Cancellation Notice: Clients must provide a minimum of 48 hours' notice for any cancellation or rescheduling of training sessions. 2. Charges for Late Cancellations: If a cancellation is made less than 48 hours before the scheduled session, the client will be charged the full price of the session. This policy applies to all individual and group training sessions. 3. Notification Method: Cancellations should be communicated via phone call, text, or email directly to our administrator AND performance coach. 4. Exceptions: We understand that emergencies can happen. In such cases, please contact us as soon as possible to discuss your situation. Exceptions to this policy may be made at the discretion of the Elevate team. *By scheduling a session with us, you acknowledge and agree to adhere to this cancellation policy. Thank you for your understanding and support. For questions or further clarification, please feel free to reach out to our Administrator Anne! *

I understand and accept the 48 hour notice for training cancellations policy

Financials

$60 per session

(1) For Program Training: 16 Sessions Total = $960

(2) For Conjugate Training: payment per created schedule

Payment Preference *

Cash/Check

Venmo, Cashapp, Zelle

Other

Consent for Transational Messaging

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.