Application

Please fill out the information below to the best of your knowledge. Once you’ve applied, one of our staff members will follow up. Please note: spots are limited and even if you successfully fill out the form does guarantee you a spot.

Participants Name

First Name

Last Name

Parents Name

First Name

Last Name

Age

School

Phone

(###)

###

####

What sports, physical activities, or fitness programs has your child participated in before, if any?

Which Athlete Village program(s) are you most interested in?

Are there any barriers (financial, transportation, scheduling, etc.) that may affect your child’s ability to participate? How can Athlete Village best support access to our programming?

Checkbox

I can afford to pay $10 per month for my child to parricipate

I can afford to pay $25 per month for my child to participate

I can afford to pay $50 per month for my child to particpate

I can afford to pay $100 per month for my child to particpate

Other