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Sports Performance Training
Liability and Waiver Form

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Welcome to Intermountain Sports Performance Training!

Our programs are scientifically designed and time tested to improve speed, agility, vertical jump, explosive power, and overall athleticism for all sports. Through our proprietary protocols, athletes will also be challenged and trained to improve reaction time, acceleration, and reduce the risk of injury.

301 North 700 West Hyde Park, Ut 84318

Agreement and Release of Liability

Please read each statement and click "I Agree". By selecting the "I Agree" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature or initials on this Agreement. By selecting "I Agree" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your electronic signature, initials, and checked boxes on this document (hereafter referred to as your "E-Signature") are as valid and enforceable as if you signed the document in writing. You also agree that no certification authority or other third-party verification is necessary to validate your E-Signature, and that the lack of such certification or third-party verification will not in any way affect the enforceability of your E-Signature on any resulting agreement between you and Intermountain Health. You are also confirming that you are 18 years of age or older and are the person authorized to enter into this Agreement on behalf of yourself or your child who is participating in the program. You acknowledge and agree that you may request a paper version of this agreement by contacting Intermountain Sports Performance.

23.The Participant Program includes PERFORMANCE TRAINING. The Program and all equipment used is a part of Intermountain Health's commitment to supporting wellness in the community and helping people live the healthiest lives possible. Receiving hospital services or medical care from any Intermountain Health facility is not a prerequisite for participation in the Program.

While participating in this Program you will not receive medical services or treatment.

In consideration of being allowed to participate in the Program and to use its equipment, in addition to the payment of any fee or charge, I do hereby waive, release, and forever discharge INTERMOUNTAIN SPORTS PERFORMANCE and its officers, agents, employees, representatives, executors, and all others from any and all responsibilities or liability from injuries or damages resulting from my participation in the Program. I do also hereby release all of those mentioned and any others active upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf, regardless of training location, or in any way arising out of or connected with my participation in the Program through INTERMOUNTAIN HEALTH. 

I Agree

24.I understand and am aware that strength, flexibility, and exercise, including the use of equipment, is a potentially hazardous activity. I also understand that fitness activities involve a risk of injury and even death, and that I am voluntarily participating in these activities and using equipment with knowledge for the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.

I Agree
 

25.I do hereby further declare myself (or son or daughter) to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation or use of equipment or machinery. I also understand if I experience an adverse medical event during the course of the program, I must provide Intermountain Sports Performance with Physician's clearance prior to returning to training. 

I Agree

26.I understand that I am not considered a patient and that patients always have priority in the use of equipment and facilities and I should not interfere with the provisions of health care services to patients. 

I Agree

27.I have been informed and provided with the Guidelines for the Program and agree to follow them. In the event that I do not abide by the Guidelines the facility has the right to terminate my participation in Program (and possibly other Participant Programs offered by Intermountain Healthcare). 

I Agree

Authorization and Release to use and disclose information or communications related to advertising and promotion.  

28.This Authorization and Release allows Intermountain Healthcare to release the following information about you to the public: your name, your image (photograph, video, film, etc.), your story and statements, relevant - but limited - medical and billing information (e.g. your diagnosis, treatment method, procedures or technology used, charity care if applicable). 

I Agree
 

30.Understanding of Terms

I understand the following.

a. I can refuse to sign this Authorization and Release.

b. I can cancel this Authorization and Release at any time and for any reason by writing Intermountain's Communications Department. If I do that, my information cannot be disclosed after I cancel. Otherwise, this authorization and release will continue in effect as long as Intermountain Healthcare is actively providing healthcare services.

c. Refusing or changing my mind about this Authorization and Release will not negatively affect me or my family in terms of healthcare treatment, payment for that healthcare, or patient benefits.

d. Federal privacy rules govern Intermountain Healthcare's use of this information. (For more information about Intermountain Healthcare's use of health information and your health-information Privacy Rights, ask for a copy of Intermountain Healthcare's Notice of Privacy Practices.)

e. I understand that others will see the information that I authorize to share publicly. Those who see this information may not be governed by the same privacy rules that apply to Intermountain Healthcare.

f. I understand what information may be released under this Authorization and Release.

g.    By selecting "I agree" the parties agree that this form may be electronically signed or initialed by selecting "I Agree". The parties agree that the electronic signatures or checked boxes appearing on this agreement are the same as handwritten signatures or initials for the purposes of validity, enforceability, and admissibility. All signers also acknowledge they are 18 years of age or older and have authority to authorize Intermountain Sports Performance services for the dependent listed above. 

I Agree

31.By clicking "I agree" below, I release my information to, and authorize, Intermountain Healthcare to disclose that information in publications, for example in electronic, audio, and printed form in news media; in publications, advertising brochures; and fundraising pamphlets, social media and other communications. My questions about this Authorization and Release have been answered to my satisfaction. 

I Agree

32.Informed Consent

My participation in the Intermountain Sports Performance program is voluntary and I may withdraw from the evaluation or program at any time. The benefits associated with my participation include information regarding my personal state of fitness and the increase of my physiological knowledge.

I HEREBY CONSENT TO and PERMIT the Intermountain Sports Performance staff to use my testing data obtained in report or publications, but my identity will not be associated with such reports unless I have given specific permission to do so.

I understand that these evaluation(s) and program participation should not result in physical injury to me. However, I acknowledge the following:

In the event of physical injury resulting from the evaluation procedures, equipment usage of equipment testing, initial first aid will be provided. If further medical attention is needed I must look to my own health insurance policies for further medical assistance.

I understand the Intermountain Sports Performance staff is relying on all information provided by me regarding my medical history and condition before allowing me to participate in any evaluation or training program. I certify the information to be true and correct. 

I Agree

33.Permission to Provide Medical Treatment Agreement

I HEREBY give my permission for my son/daughter to undergo medical treatment for any injury or illness he/she may sustain or acquire while engaged in the Intermountain Acceleration I understand that the personnel of the Intermountain Acceleration use only those procedures, which are within their training, credentialing and scope of professional practice to prevent, care for and rehabilitate injuries. In the event that more serious medical procedures are required, such as surgery or other invasive procedures, I understand that attempts will be made to contact me for my consent. I understand that if my child suffers a potentially life threatening injury or illness, and in the event I am unable to be contacted within a reasonable period of time, that I authorize any duly licensed medical practitioner to perform such procedures as may be medically necessary to alleviate the problem.

I have had the opportunity to ask questions regarding this release and all of my questions have been answered to my satisfaction. Having understood the above agreement, I freely sign this Permission to Provide Medical Treatment Agreement.

I acknowledge that the participant is under the age of 19. I have reviewed the information provided and certify it to be true and correct. 

I Agree

Policies

34.Payment are to be PAID IN FULL at time of registration or prior to any testing or training 

I Agree

35.Refunds

No refunds will be given once an athlete starts Intermountain Sports Performance training programs. If an athlete is unable to complete the training, due to an injury that occurred outside of the Intermountain Acceleration training programs facility or other relevant circumstances that prohibit the athlete to finish, the remaining credit will be kept on account for no longer than one year from the date of the first training session. If after this time period, the athlete has not used the credit, the remaining balance will be forfeited.

If at any time an individual is unable to complete a performance training program due to injury sustained during an Intermountain Acceleration training session, the pro-rated balance of their training fee may be refunded or maintained on account until the individual is able to complete their training program. 

I Agree

36.Cancelation and Reschedule Policy for training in our facility.

Please call, email or CANCEL online at least 24 hours in advanced if you are unable to attend your scheduled session. Failure to do so will result in forfeiture of that session." 

I Agree

37.Training that has not been completed within the training session will have one week to make up any training sessions they had. 

I Agree

38.If training(signing up) with a Team or Group there will be no make up days for Individuals. 

I Agree

Thank you for registering with Intermountain Sports Performance!

To complete registration, press submit below and please call to schedule your first training session!

Today's Date: November 11, 2025

First Athlete's Name
First Name*
Last Name*
Phone*
Select Gender
First Athlete's Date of Birth*
Date of Birth
First Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
First Athlete's Signature*
Second Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Second Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Third Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Third Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Fourth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Fourth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Fifth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Fifth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Sixth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Sixth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Seventh Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Seventh Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Eighth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Eighth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Ninth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Ninth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Tenth Athlete's Name
First Name*
Last Name*
Select Gender
Athlete's Date of Birth*
Date of Birth
Tenth Athlete's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Athlete's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Select Gender
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Age:
1. Please select the training package that you would like to register for.*
Speed & Power 14 Sessions
Speed Only - 8 Sessions
Mini Speed & Power - 8 Sessions
Xross Monthly
Return To Play (Returning from injury)
Cancer Wellness Program
VBT Speed 10 sessions
Other
13. In order for an athlete to participate in our program they must be at least 10 years of age or in 5th Grade *
My athlete is at least 10 years old or in 5th grade.
14. Has the athlete you are registering trained at an Intermountain Sports Performance training center before?*
No
Yes
15. How did you hear about Intermountain Sports Performance? (Select all that apply)
Word of mouth (family, friend, teammate, etc...)
Coach
TV or Radio Ad
Social Media
Booth or Sporting Event
Email
UYSA (Utah Youth Soccer Association)
Flier or brochure
Referral from doctor, Physical Therapist, or Athletic Trainer
Visited my school.
I know someone who works there.
Other
If Other:
16.Athlete's Primary Sport
Football
Soccer
Track
Volleyball
Basketball
Rugby
Wrestling
Baseball
Softball
Swim
Cycle-Mountain/Road
Cross Country
Tennis
Pickleball
Lacrosse
Other
If Other:
17. How many years has the athlete played an organized sport?
18. Athlete's Secondary Sports
Football
Volleyball
Soccer
Basketball
Track
Rugby
Cross Country
Wrestling
Baseball
Softball
Tennis
Swim
Pickleball
Cycle-Mountain/Road
Lacrosse
Other
If Other:
19. Athlete's School
20. Injuries/Conditions that could impact training
21. Goals - What do you want to improve on while training at Intermountain Sports Performance?
22. Goals - What are your top 3 goals to improve on while training at Intermountain Sports Performance? (Please select at most 4 options.)
Speed
Agility
Strength
Power
Vertical Jump
Endurance
Reduce injury risk
Coordination
Other
If Other:
29.If you don't want Intermountain to disclose certain information, please put a check next to the information that you DON'T want disclosed.
Full Name
Image (photographs, video, social media post, etc...)
My story and statements
Medical Information (diagnosis, procedures, treatment information, etc...)
Other
If Other:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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