Performance & Prevention Program Registration :: Nationwide Children's Hospital

Performance & Prevention Program Registration

To register for a Performance & Prevention Program, please complete the following two steps:

  1. Complete and submit our online registration form below. After submitting, a Nationwide Children's Sports Medicine Team member will contact you to confirm your registration.
  2. Download our release form here. You must bring a signed copy of this form to your first session to be able to participate.

If you have any additional questions, please call (614) 355-6013.

Performance & Prevention Program Registration Form
Athlete/Patient Information
Athlete's First Name: *
Athlete's Last Name *
Male/Female: *
Age: *
Street Address: *
City: *
State: *
Zip Code: *
Grade Entering in Fall: *
School Name: *
T-shirt Size: *
Program(s) Registering for: *
September 1st-25th - Westerville Sports Medicine Center
September 2nd-25th - Dublin Sports Medicine Center
October 6th-30th - Westerville Sports Medicine Center
October 6th-30th - Dublin Sports Medicine Center
Parent/Guardian Information
First Name: *
Last Name: *
Your Relationship to Athlete: *
Phone (ex. 888 8888888): *
E-mail Address: *
How did you hear about us? (check all that apply)
Athletic Director
Athletic Trainer
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000