O.Y.M. REGISTRATION FORM
Childs Name
Age
--------------
6
7
8
9
10
11
12
13
14
15
16
17
18
--------------
Gender
Male
Female
Medical History
(asthma, previous injuries, etc)
Parent Name
Phone Number
Email
If paying online, your email address must match your paypal email address.
O.Y.M. Fitness and Speed Program has my permission to use images of the above named athlete in company advertising (both print and online) which demonstrates the normal training techniques conducted during this program.
Photo/Video
YES
NO
Registration fee
$20.00
Registration fee is non-refundable.
Payment Opt
$200.00 (full payment)
$100.00 (partial payment)
Pay Later
Other:
To pay later (online), please go to or web sites registration page and click on the "Make Payment" button to make your payment. You can also pay at our OYM location. Full payment must be received before training begins.
SUBMIT
Please wait...
Never submit sensitive information such as passwords.
Report abuse
RESET
Print
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Create online forms and surveys
Create your own form