Summer Pre-Registration Form - Cincinnati News, FOX19-WXIX TV

Summer Pre-Registration Form

2002 SUMMER PRE-REGISTRATION FORM
PLEASE HIGHLIGHT AND PRINT FORM or TRY PRINTING THIS PAGE!!


SCHOOL:______________________________________

NAME: _________________________________________

ADDRESS:_________________________________________________

___________________________________________________________

PHONE: ______________________________


LOCATION:                FAIRFIELD                 ANDERSON
(Please circle one)        (250 athletes)                 (250 athletes)

PLEASE MAIL FORM TO FACILITY WHERE YOU PLAN TO WORKOUT:

FAIRFIELD
TEKULVE ACCELERATION TRAINING
3787 WOODRIDGE BOULEVARD
FAIRFIELD, OHIO 45014
513-874-6164   

ANDERSON
TEKULVE ACCELERATION TRAINING
463 OHIO PIKE, SUITE 201
CINCINNATI, OHIO  45255
513-528-4567

 Athletes need to call a week before they are ready to start the program
to schedule their appointments.

GROUP RATES: In order to receive a group rate, all pre-registration
forms must be returned together with all payments.
_____1 Athlete $360.00    _____2 Athletes $330.00 each
_____4+ Athletes $315.00 each

Team rates also available, please call.

Checks should be made payable to: Tekulve Acceleration

Powered by Frankly