Parent First Name
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Parent Last Name
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Athlete First Name
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Athlete Last Name
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Parent/Primary Email
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Parent Cell Number
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Athlete Cell Number
Athlete Date of Birth
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Current Grade Level
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4th-8th Grade
8th-12th Grade
College
Other
Current School Attended
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How Did You Hear About Us? (Check all that apply)
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Someone referred me
I know Friends/Teammates who have had great experiences at PowerStrength
Online Search
Social Media
Email
Radio/Podcast/TV Interview
Other
List the Sports You Play Competitively:
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Which Areas Are You Looking To Improve the Most Through Training with us? *Check all that Apply
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Increase Confidence
Get Stronger
Get Faster
Increase Power and Explosiveness
Build Stronger Habits and Self-Discipline
Rehab/or Reduce the likelihood of Injury
Build Muscle
Gain Weight
Improve Quickness, Agility, and Reaction Time
Improve Endurance and Stamina
All the Above
Other
What Are Some Of Your Athletic And Training Goals? *Check all that Apply
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Maximize my Playing Experience and Athletic Potential
Make the Team
Earn More Playing Time
Earn Awards for All-Conference, All-State, All-Area, etc.
Get Recruited and have the opportunity to play a sport in college
Earn a College Scholarship for my sport
Get more Playing time in College
Enter my Season in the best shape possible
Build foundational exercise and nutrition habits that will help me after my playing career
Other
What Type of Training Experiences Have You Participated in Before? *Check all that Apply:
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No formal training program before
Sports Camps or Clinics
Workouts at the school and/or with my team
At-home workouts
Group workouts led by a trainer at another gym
Private 1-on-1 personal trainer
Sport Skills training (Ex: skills training for basketball, volleyball, soccer etc.)
Other
Choose Which PowerStrength Location Works Best For You?!
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Alpine - 919 Alpine Commerce Park NW
Kentwood - 5131 E Paris Ave SE
Jenison - 1308 Rosewood St.
Plainfield - 5246 Plainfield Ave NE
Holland - 779 96th Ave
When are you looking to get started on a training program?
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As soon as possible
Within 2-4-weeks
When my schedule opens up in 4+weeks
I want to reserve my spot for the future
I’m just searching for more information
Please share additional comments if needed:
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By Checking this box you acknowledge that you have completed this inquiry with serious intentions about your athlete training program and goals. You also acknowledge that after completing this page, you will follow the prompt to schedule a phone call with a pro from PowerStrength to review the next steps. Please note that capacity is often limited in our program. The athletes/parents that schedule the phone call the quickest have the best chance at the training slots that fit their schedule. We look forward to speaking with you!
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