Injury Prevention Program Registration

To register for any of Nationwide Children's Sports Medicine Injury Prevention Programs, 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 within one business day 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.

Registration Form
Athlete's First and Last Name: *
Male/Female: *
Male
Female
Age: *
Grade Entering in Fall: *
School: *
T-shirt Size: *
Program(s) Registering for Spring/Summer 2010 *
Speed and Agility Program – All sports (March 2nd – April 8th)
Shoulder Stability Program for Throwing Sports and Tennis (April 19th – May 26th)
Strength and Power Program – All sports (April 20th – May 27th)
Ice Skating Conditioning Program (June 14th – July 26th)
Speed and Agility Program – All sports (June 15th – July 22nd)
Football Power Development Program – 11-14y/o (July 27th – August 12th)
Your Name: *
Your Relationship to Athlete: *
Street Address: *
City: *
Zip Code: *
Phone (ex. 888 8888888): *
E-mail Address: *
How did you hear about us? (check all that apply) *
Athletic Director
Athletic Trainer
Coach
Physician
Nurse
Parent
Friend
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Other