Mercy Acceleration- Goals What are your primary sports performance goals? (e.g. make all-conference, break 100 meter dash record, etc‌) ___________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How did you hear about Mercy Acceleration (if it was a friend, please list his/her name)? ________________________________________________________________________ List the sport(s) in which you participate ______________________________ ______________________________ ______________________________ ______________________________
Position or event _________________ _________________ _________________ _________________
Coach _________________ _________________ _________________ _________________
When does your sport(s) season begin? ________________________________________ ________________________________________________________________________ What performance characteristics do you feel need improvement (i.e. agility, strength, start speed, conditioning, weight loss)? ________________________________________ ________________________________________________________________________ ________________________________________________________________________
Testimonial about Mercy Acceleration (to be completed at the end of the program): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ I hereby permit Mercy Acceleration to use my identity and results of my performance at Mercy Acceleration and in sport competition programs for congratulatory purposes only. Mercy Acceleration will not use my identity for marketing purposes that would jeopardize my eligibility. ____________________________________________ (Signature of Participant) __________________________________________________________________
(Signature of Parent or Guardian if participant is under 18 years of age)