www.schumanspeed.com

201-587-0965

schumanspeed@aol.com

Schuman's Speed Center:

Speed, Quickness and Conditioning Camp Registration Form

Welcome to Schuman's Speed Center. Call us at 201-587-0965 or email us at schumanspeed@aol.com

Please fill out the form and we will contact you to set you up with the appropriate camp for your sport. If you want individualized person speed training please indicate and we will arrange that for you as well. You can fill out this form and mail your check for the appropriate amount to: Schuman's Speed Center, 49 Finnigan Ave. Suite Q-3, Saddle Brook, NJ 07663. Remember for the 8 week camp it is $200 ,for the 4 week camp it is $135, and for the 2 week it is $100.  Or you can pay by credit card by filling out the credit card information below. If you would prefer to download the form and mail it in please click here

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Please provide the following registration information:

Name
Address
City
State
Zip
Title, Coaching Position, or Sport Position
Organization, High School, or College
Age
Grade
Past Injuries
Medical Conditions
Have you had a physical?	Yes No
Allergies
Work Phone
Home Phone
Primary Sport	Football Basketball Soccer Field Hockey Track and Field Softball Baseball Hockey Volleyball Lacrosse
Secondary Sport	Football Basketball Soccer Field Hockey Track and Field Softball Baseball Hockey Volleyball Lacrosse
Other information or individual training requests
Sport interested in developing speed for:	Football Basketball Soccer Field Hockey Track and Field Softball Baseball Hockey Volleyball Lacrosse
E-mail
Preferred Location (please check)	Northern NJ- Saddle Brook HS, Saddle Brook, NJ (Base Location) (Testing will be at Bergen Community College in Paramus, NJ) : 8 week camp and 4 week camp offered South/Shore Jersey Region: Long Branch HS, Long Branch, NJ: 4 week and 2 week camp offered West Jersey Region-Hackettstown, NJ-Green Acres Recreation Facility: 8 week camp and 4 week camp offered Washington DC Region: 4 week and 2 week camp offered Dallas/Ft Worth , TX Region: 4 week and 2 week camp offered Coastal Region, Texas:4 week and 2 week camp offered (will be offered in 2004) Atlanta, GA Region: 4 week and 2 week camp offered Ellicott HS, Ellicott, Co (colorado springs region), Colorado Region :4 week and 2 week camp offered Pittsburgh, PA Region: 8 week, 4 week and 2 week camp offered (will be offered in 2004) Orlando, Fl Region: 4 week and 2 week camp offered (will be offered in 2004) San Diego/Los Angeles/Palm Desert Region: 8 week, 4 week and 2 week offered Cleveland/Cincinnati OH Region: 4 week and 2 week camp offered (will be offered in 2004) Jacksonville, Fl Region:8 week, 4 week and 2 week offered Miami, FL Region:8 week, 4 week and 2 week offered Rochester, NY Region: 4 week and 2 week offered My Local HS or College
If you checked "My Local HS or College" 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)
Choose the Camp and The Dates You Will Be Attending:	DATES:  8 week camp: June 23- August 15^th  4 week camp: Session 1- June 23-July 21^st Session 2- July 21^st- August 15^th Session A-July 7-August 1st  2 week camp: Session 1- June 23-July 5^th   Session 2-July 7^th- July 18^st Session 3-July 21^st-August 1^th Session 4-August 4- August 15^th
Time Slots Available (please choose your preference) Choose two slots	8am-9am (all camps) 9am-10am (Colorado Springs, Miami, Washington DC, South Jersey, Jacksonville, Dallas) 9am-10:30am (Saddle Brook NJ, West Jersey, Atlanta, San Diego) 10:30am-12pm (Saddle Brook NJ, West Jersey) 5pm-6:30pm(Saddle Brook NJ, West Jersey, Atlanta, San Diego) 6pm-7:00pm (Colorado Springs, Miami, Washington DC, South Jersey, Jacksonville, Dallas) 6:30pm-7:30pm (South Jersey) 7:00pm-8:00pm (Colorado Springs, Miami, Washington DC, Jacksonville, Dallas) 7:30pm-8:30pm (South Jersey) 6:30pm-8pm(Saddle Brook NJ, West Jersey, Atlanta, San Diego)

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Please provide choose the camp that best suits you:

# of Athletes	Amount	Camp
	$200 per person
	$135 per person
	$135 per person
	$100 per person
Payment Information
In order to secure your spot you must pay the $60 deposit. (spots are filling up fast). We will charge you for the deposit if you pay by credit card and we will not charge the full amount till the week before the camp starts. If you want to pay by check please send check to: Schuman's Speed Center, 49 Finnigan Ave. Q-3, Saddle Brook, NJ 07663
Type:	Visa Mastercard	Credit Card #
Name On Card
Address
Expiration Date	Month: January February March April May June July August September October November December Year: 2003 2004 2005 2006 2007 2008 2009 2010
Pay Full Amount	Pay Deposit Now

Please fill out the form and we will contact you to set you up with the appropriate camp for your sport. If you want individualized person speed training please indicate and we will arrange that for you as well. You can fill out this form and mail your check for the appropriate amount to: Schuman's Speed Center, 49 Finnigan Ave. Suite Q-3, Saddle Brook, NJ 07663. Remember for the 8 week camp it is $200 for the 4 week camp it is $135, and the two week camp is $100.

The $60 deposit is non refundable and assures you a place in our camp

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

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