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Speed & Agility clinic

When: 11:00 a.m. Where: Oklahoma Cost: July 27th 6:00 - 8:00 p.m. & July 28th 9:00 Eldon Lyon Park located in Bethany

$60 Check/ Money Order or $50 cash

This clinic only has 50 available spots and usually will fill up within two weeks. This clinic is designed for 6th, 7th or 8th grade students. The purpose of the clinic is to give student athletes practical exercises to help them with developing speed & agility. Payment and Form: Cost for this clinic will go to pay the instructor and any supplies needed for the clinic. Aim High will donate 10% to charity or local church. Cash, Checks, Money Orders and form may be mailed to :
Justin McCullah 7621 NW 105th Ter OKC OK, 73162

Registration will begin at 5:30 p.m. at Eldon Lyon Park. Friday we will need all clinic participants to be picked up by 8:15p.m. Saturday will promptly begin at 8:00 a.m. and end at 10:00 a.m. All clinic participants must be picked up by no later than 10:15 a.m.

Instructor:
Our instructor is Mr. Stephen Johnson. He is certified by National Exercise & Sport Trainers Assocoation (N.E.S.T.A). He is a former track athlete from Southern Nazerene University who ran on a world class 4x400 m relay team.. He is currently a track coach in the Putnam City School district investing his life in the future of tomorrow.. Mr. Johnson has enjoyed picking up swimming and adding it into his resume lately. He recently tried out for the 2012 Olympisc in the sport of swimming.

Aim High Inc. Oklahoma: www.aimhighprofile.com McCullah, State Scout

Contact info: Contact : Justin

www.facebook.com/AimHighIncOklahoma 6288 www.twitter.com/AimHighOklahoma jmccullah5513@gmail.com

Phone: 405-443Email:

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Speed & Agility Clinic

Form
Participant Name: __________________________________________________________ Parent/guardian name: ____________________________________________________ Address: _________________________________________ _________________________________________ Phone Number : ___________________________email:__________________________ Age: __________Grade in school: _________School :_____________________________ Sport participated in: _________________________________________________________________________ T shirt size: _______________ _________________________________________________________________________

Parent/ Guardian Consent

I _____________________________________ give _______________________________
Parent/Guardian name: Aim High inc.

participant:

permission to attend the Aim High Inc. Speed & Agility clinic. I understand that all excersises will be monitored. I understand injuries can occur and will not hold any instructor or Aim High Inc. liable for any injuries that can occur. I ____________________________________ have valid health insurance and can provide
Parent/Guardian name:

proof of the insurance if needed. ____________________________________________

Aim High inc. Participant

has permission to fully participate in all activities and does not have any medical conditions that limit him/her from fully participating.