Tuesday, December 30, 2014

Winter Youth Conditioning Clinic & Registration



May be easier to contact Patrick Schilling for registration

 Winter Youth Conditioning Clinic Registration
Working with Patrick Schilling, experienced Health Fitness Instructor and Exercise Physiologist, develop strength, power and flexibility between your sport seasons. Each week will focus on exercises to keep you fit and get you ready for the next season. Every 60 minute class will feature exercises that are challenging, creative, and fun! 
with Patrick Schilling, ACSM HFI, Certified Wellness Coach 
For ages 8 - 15 
Participant Registration 
DATES & TIME: 10 clinic sessions, Tuesdays January 27 – April 7, 2015 (no class February 10th
8-10 years old – 5:30-6:30pm 
11-15 years old – 6:30-7:30pm 
PLACE: Saint Brigid’s Church Msgr. Lane Pastoral Center Gymnasium 
43 North Prospect Street, Amherst 
Directions to Gymnasium: The Lane Pastoral Center is located behind St. Brigid's Church in the center of Amherst, across the street from the post office and Ren's Mobile station. Parking is available on Cowles Lane, North Prospect Street, or in the CVS parking lot. Enter the building from the main entrance on North Prospect. 
COST: 10, 60-minute sessions, $150 
REGISTER with payment in full by January 23rd by completing information below 
(cash or check payable to Patrick Schilling, 299 Alpine Drive, Amherst 01002) 
A full description of the clinic and weekly class schedule will be sent via email upon receipt of registration, 
along with the required liability waiver to bring to the first session. 
EQUIPMENT: Each participant should bring a jump-rope, water bottle, and wear cross trainers or running shoes and comfortable work-out clothing. 

Class size is limited – register today! Participant1 Name: 
Age: 
Participant2 Name: 
Age: 
Participant3 Name: 
Age: 
Parent/or Legal Guardian Name(s): 
Address: 
Street 
City, State Zip 
Email: 
Phone: 
Emergency Contact Name: 
Emergency Contact Phone: 
Participant’s Primary Physician: 
Physician Phone: 
Participant1: 
Participant2: 
Participant3: 
Medications: 
Food/Drug Allergies: 
Special Medical Conditions or Disabilities: 

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