Personal Training And Sports Performance | Train2change Fitness & Performance

Speed and Agility Clinic

Session 1: October 24, 2026 - 9am and 10am

Session 2: October 31, 2026 - 9am and 10am

Siblings: Each Athlete Must Be Registered Separately

Athlete's First name

Athlete's Last name

Age, School and Grade

What sports do you play currently? If you play on a travel team, what club do you play for?

Parent / Guardian's Name

Parent / Guardian's Phone Number

Best Email

Emergency Contact / Phone

Choose Your Clinic Session

Session 1 - 9am Session

Session 1 - 10am Session

Session 2 - 9am Session

Session 2: 10am Session

Release of Liability / Medical Consent

By clicking the box above, I certify that I am over 18 years of age and I am the parent or legal guardian of the above athlete and I certify that my child is in sound physical condition to participate in any of the sports performance programs offered by Train2Change Fitness & Performance and 365 Baseball & Softball/365 Athlete Development. I authorize the staff of Train2Change Fitness and Performance and/or 365 Baseball & Softball/365 Athlete Development to act accordingly with their best judgment in an emergency situation. I have adequate insurance and hereby release the Train2Change Fitness & Performance directors and staff, 365 Baseball & Softball/365 Athlete Development and Robert Viramontes from any and all liability in the event of an injury and/or illness requiring treatment, hospitalization, and/or surgery. Train2Change Fitness & Performance, 365 Baseball & Softball/365 Athlete Development or Robert Viramontes are not responsible for and will not provide any medical, dental, hospital, or laboratory fees due to injury while participating in a sports performance program conducted at the 365 Baseball & Softball/365 Athlete Development, 700 A Street, San Rafael, CA . In the event of injury or illness, Train2Change Fitness & Performance, 365 Baseball & Softball/365 Athlete Development, their staff and Rob Viramontes have my permission to provide emergency first aid care.

BY TYPING YOUR FULL NAME BELOW, YOU CERTIFY THAT YOU ARE 18 YEARS OF AGE OR OLDER AND YOU ARE THE PARENT OR LEGAL GUARDIAN OF THE PARTICIPATING ATHLETE

ADULT

FITNESS &

PERFORMANCE

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