ASSEMBLE HEALTH & PERFORMANCE TRAINING

HIGH SCHOOL & MIDDLE SCHOOL ATHLETES

6-Week Strength & Conditioning Program

Begins: May 7
Times: Tuesdays & Thursdays | 3:00 PM-4:00 PM
Cost: $240
Location: Assemble - 719 Main St, Buckley, WA 98321

There are TWO steps below
Step 1: Athlete Intake Form and
Step 2: Download Mobile App/Create Account and Pay

Athlete's Name

First Name

Last Name

Athlete's Birthdate

YYYY

Athlete's Email

Athlete's Phone

(###)

###

####

Guardian's Name

First Name

Last Name

Guardian's Phone

(###)

###

####

Guardian's Email

School

Sport(s) + Position(s)

Grade (2022-2023 School Year)

Do you have any injuries you would like us to know about?

Goals for Training

Additional Comments/Questions

How did you hear about Assemble?

Set up an account using the athlete’s name + email (the waiver goes through this process)
Purchase “High School & Middle School 6 Week Program”
We will contact you via text message to confirm