God Speed Sports Performance

For your convenience, there are Three ways to register:

1) On-Line registration [Click here] to be sent to registration form.
On-Line registration: Simply fill out he registration information bellow.

2) Download Registration Form and fax back to God Speed: Fax:(818) 232-0309

[Click here] for God Speed Clinic/Private Training

[Click here] For God Speed Track Club

3) First day of practice you can turn in registration form and make payment. Note: you must call or e-mail Coach to make aware of your participation. Ph (661) 714-0481

Payment Methods
1) Cash (preferred)
2) Checks
3) Credit Cards ( Visa, MC, Amex, Discover, & ATM Debit Cards)

ON-LINE SIGN-UP
Please enter the following information:

Participants Name:

Mailing Address:

City:

State:

ZIP:

Grade(Fall 09): Age: Birth Date: Gender:

Athlete's Shirt Size (Please indicate Youth or Adult Size):

Participants Sport, Position, Event:

(If a minor)
Parents/Guardian's First Name:

Parents/Guardian's Last Name:

Parents/Guardian's Email Address:

Home Phone: Cell Phone:

Emergency Contact Name:

Emergency Contact Phone:

Check Desired Training Location:
"PASADENA (Pasadena High School)" Wednesday's 5:00 - 6:30pm & Sunday's 2:30-4:00pm
"CSUN (Northridge)" Tuesday's 4:00 - 5:30pm & Sunday's 1:45 - 3:00pm
"COC (Valencia)" Thursday's 4:00 - 5:30pm & Sunday's 12noon - 1:15pm

Any additional questions or comments:

DISCLAIMER/EMERGENCY MEDICAL FORM; I, the parent or guardian of the above named individual, acknowledge that participation in athletic events potentially involves risk of physical injury. In consideration of the benefits to be derived, we expressly waive all claims against Mark Crear, God Speed Training and Its Representatives on account of any accident, injury or illness incurred while at camp or on the way to camp. I attest that my child is physically capable to participate in this event. However, should officials, representatives or volunteers determine in their sole discretion that completion or participation in any games or events would be injurious to my child’s health, or should my child become ill or sick, I consent to his/her removal and treatment by any physician or medical care provider at the direction of the event or game officials, sponsors, representative and/or volunteers.