Please provide the following registration information:

Name
Address
City
State
Zip
Title, Coaching Position, or Sport Position
Organization, High School, or College
Age
Work Phone
Home Phone
Primary Sport	Football Basketball Soccer Track and Field Softball Baseball Hockey Volleyball Lacrosse
Secondary Sport	Football Basketball Soccer Track and Field Softball Baseball Hockey Volleyball Lacrosse
Other information or individual training requests
Sport interested in developing speed for:	Football Basketball Soccer Track and Field Softball Baseball Hockey Volleyball Lacrosse
E-mail
Please write in where you would like the camp to be help (remember we must have 20 athletes to run the camp at your location)
Number of Athletes Already Expressing Interest in Camp

Please provide choose the camp that best suits you:

# of Athletes	Amount	Camp
	$300 per person
	$200 per person
	$200 per person
	$75 per person
	$150 per person

Please fill out the form and we will contact you to set up the camp at your location.

Questions? Call us at 201-587-0965 or email us at schumanspeed@aol.com