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Acadia Performance Training Inc.
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Email Address *
Password *
(at least 6 characters)
Contact Information
Name *
Alternate Email Address(es)
(separate multiple by commas or semi-colons)
Phone Number
Address
City
Province/Postal Code
Program
Program *
Details
Location
Preferred First Training Session
(you will be contacted to confirm)
Start Times
Athlete
Athlete's Name *
DOB *
Sex
Sport(s)
Athlete's Cell Phone
Current Injuries
Previous injures
Allergies
Medications
Payment
Amount
$  
Payment Plan
(payments are charged monthly on the same day as registration)
Promo Code
   
Payment Method
     
Directions
If paying by cheque(s) please make them payable to 'Acadia Performance Training Inc.' and bring them to the first session.
Name on Card *
Card Number *
Expiration Date *
Keep Credit Card on File
(payment plans require info to be saved on file for automatic monthly payments until the balance is paid in full)
   
Billing Address 
Address *
City *
Province/Postal Code *
Optional
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