Registration Form

Please use this form to begin the registration process for each athlete.

Celsius Athlete Registration

Athlete Name:

Athlete Age:

Date of Birth:

Gender (male or female):

Athlete Phone (if applicable):

Athlete Email (if applicable):

Athlete Address (including street, city, state, postal code and country):

Please provide brief athlete level and background

Days per week and time:

Cost per month:

Start Date:

End Date (or indicate monthly):

Primary Parent Name:

Primary Parent Email:

Primary Parent Address (including street, city, state, postal code and country):

Primary Parent Cell Phone:

Primary Parent Alternate Phone (if applicable):

Alternate Parent Contact (spouse, relative, etc):

Alternate Parent Contact Phone:

Comments or Additional Information:

9 + 15 =

The student athlete registration form on this page is for your convenience.

Please complete all applicable fields.
Complete the MEDICAL RELEASE, sign and return via either email or in person on your athlete’s first day of training at Celsius.
Payment

Payment can be made by check or credit card. For your security please contact us directly via phone at (941) 737-2635 or we can run your credit card or take your check directly at the academy. Payments are due at the beginning of each month.

Should you have any questions please contact Cary Cohenour, director at (941) 737-2635 or carycohenour@gmail.com.

Registration Form

Celsius Athlete Registration

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