Contact | ID 3 Training

Child Name *

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Parent Name *

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Phone Number *

Sport(s) Played *

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High School (Current or future) *

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College (if applicable)

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Address *

Injury History, if applicable, please list Doctors seen or Physical Therapists you have worked with. *

Goals *

Level of strength training experience *

Are you interested in hitting or pitching lessons? *

Have you been to a showcase or have your numbers tested? What is your throwing velocity, exit velocity, home to first time, or 60 yard dash time? *

Are you interested in receiving info about Dr. Durbin and the chiropractic services she offers?

Questions or Comments

All customer information will be confidential and will not be used for other marketing or advertising purposes without customer approval.

Please check Yes if you would like to receive a phone call or an email with more information about ID 3 Training. *

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