SPEED FACTORY
Dynamic Ground Speed Training for the Serious Athlete!!

Click here to print (or select 'File' and then 'Print' from your browser's menu), and send this completed registration form, along with a cheque, made payable to:

Speed Factory Inc.
705 Matheson Blvd. E. (Iceland Mississauga)
Mississauga ON
L4Z-3X9

An extensive performance analysis is provided in order to identify strengths and weakness, so that athletes can work towards improvement in needed areas. Testing is done ONE week prior to session.

Name:
Male [  ]   Female [  ]   Age:
Email address:
Address:

 


Phone (Mother): (          )
Phone (Father): (          )

In case of emergency, please contact:

Name:
Phone: (          )

The applicant agrees that Speed Factory Inc and/or its personnel will not be held responsible for any accident or loss to people or things, however caused and agrees to release the school and its personnel from all claims or damages that may arise from such accidents or losses.

Signature:

Dated:

© 2005 Speed Factory Inc.