Name(Required) First Last Email(Required) Phone(Required)Athlete's Name(Required) First Last Athlete's Date of Birth(Required) MM slash DD slash YYYY Preferred method of contact(Required) Email Phone What is your goal for your athlete? Select all that apply(Required) General movement - I want my child to move, play, and have fun while improving endurance, strength, and coordination Join a sports program - I want my child to have the confidence to be a part of a team. This includes, but is not limited to, running, catching, kicking, throwing, and hitting Getting ready for camp - I want my child to have the confidence to be away from home and enjoy the activities camps offer in the summer Improving social skills - I want my child to gain experience interacting and communicating with peers Select AllImproved Physical and Mental Health(Required) Intrinsic value - I would like to see my child develop a love of movement Stress and anxiety - Exercise is an excellent method to help decrease levels of stress and anxiety and improve self-regulation Improved daily living activities - I would like to see my child become more independent Focus - Exercise can help improve concentration, motivation, memory, and mood Confidence - Exercise can help increase self-esteem, social skills, emotional health, and a sense of accomplishment Body Awareness - I would like to see improvements in my child’s fine motor skills, gross motor skills, balance, and overall awareness of their body in space Select AllImproved Social Skills(Required) Playing with peers - I would like to see improvement in sharing, following directions, and taking turns Problem solving - Physical play can help a child generate solutions via social interactions Positive peer interactions and conversations - Interacting with peers in an appropriate manner while maintaining personal space and respectful voices Select All
