736 Broadway N
Sanford
North Fargo Clinic
8
REGISTRATION CONT.
Name on Card____________________ Exp. Date_______
13 Sanford
West Fargo Clinic
13th Ave S
Parent/guardian signature
Date
9th St. E
I hereby consent to having (child’s name)
participate in the Sanford POWER Camp. I understand
that there are risks involved in participation. I certify that
he/she is medically fit to participate in camp training and
activities. I agree to release and hold free from liability
all camp employees and Sanford for injuries/illness
that may occur during or as a result of participation.
New Sanford Fargo
Medical Center
Sanford Athletic Park
Family Wellness
Sanford POWER Center
Scheels Arena
32nd Ave S
40th Ave S
Detach and return registration panel.
52nd Ave S
Fargo Basketball Academy
Sanford Athletic Park
2990 Seter Parkway
Fargo, ND 58104
034004-00228 11/16
Sanford 3 13th Ave S
Children’s
Southwest Clinic
Exit 348
Broadway
4th St. N
2nd St. N
Sanford Downtown
Medical Center
Campus
BE A BETTER
Main Ave
1st Ave S
Sanford 7
Neuroscience
Clinic
Orthopedics &
14
Sports Medicine
Sanford Health
HealthCare
Accessories
12 Sanford
Southpointe
Clinic
Sanford
Professional
Building
12th Ave S
Sanford 6
Moorhead
Clinic
H
Exit 350
15 Sanford
10
1st Ave N
Center Ave
ATHLETE
2
Veterans Blvd.
CONSENT FORM
45th St. SW
Exit 64
Red River
8th St. S
Card #__________________________________________
1st Ave N
NP Ave
Exit 65
(701) 234-8999
SANFORDPOWER.COM
1
7th Ave N
4th St. S
Card Type_______________________________________
#StartPerformFinish
West Fargo
Main Ave
Sheyenne St
CREDIT CARD PAYMENT
H
Exit 66
START.PERFORM.FINISH.
Goals: 9
t. N
Sanford Health
Occupational
Medicine Clinic
(
)
7th St. S
12th Ave N
7th S
Emergency Contact Work Phone #
University Drive
(
)
10th St. N
Fargo
9th St. E
Emergency Contact Cell Phone#
University Drive
25th St S
Emergency Contact 19th Ave N
Exit 67
Moor
SANFORD POWER
TRI-CITY STORM
IN-SEASON
Sanford
TRAINING CAMPS
2801 Medical
Sanford South
University Campus
Exit 351
Exit 1
Building
Sanford
11 Reproductive
Medicine Clinic
Harw
ood D
rS
IMPROVE YOUR PERFORMANCE
TRAINING SESSION II
Tri-City Storm Soccer Club and Sanford POWER have
partnered to offer additional sports performance
opportunities for Tri-City Storm Soccer Club athletes
during this in-season.
Group #1: Boys 8-12
Monday & Thursday 6-7 p.m. 2/20/2017-3/30/2017
Registration Deadline: 2/10/17
MAIL REGISTRATION
At Sanford POWER, we start you on the path to
maximum performance. Our team of athletic
performance experts uses proven practices and the
latest technologies to help an athlete become stronger,
faster and more explosive—no matter the sport.
Group #2: Girls 8-12
Monday & Wednesday 5-6 p.m.
2/20/2017-3/29/2017
Registration Deadline: 2/10/17
REGISTRATION FORM
You can take the skills you learn at Sanford POWER
with you wherever you go—no matter your personal
goals. You will finish strong and learn to perform
at your maximum ability. From the fundamentals to
advanced training methods, our program is designed
to make you Be A Better Athlete.
TRAINING SESSION I
Group #3: Boys 13-14
Monday & Wednesday 5-6 p.m.
2/20/2017-3/29/2017
Registration Deadline: 2/10/17
Group #4: Girls 13-14
Monday & Friday 5-6 p.m.
2/20/2017-3/31/2017
Registration Deadline: 2/10/17
Group #1: Boys 8-12
Monday & Thursday 6-7 p.m. 1/9/2017-2/16/2017
Registration Deadline: 12/30/16
Group #5: Girls 15-19
Tuesday & Thursday 6-7 p.m.
2/21/2017-3/30/2017
Registration Deadline: 2/10/17
Group #2: Girls 8-12
Monday & Wednesday 5-6 p.m.
1/9/2017-2/15/2017
Registration Deadline: 12/30/16
Group #6: Boys 15-19
Tuesday & Thursday 5-6 p.m.
2/21/2017-3/30/2017
Registration Deadline: 2/10/17
Group #3: Boys 13-14
Monday & Wednesday 5-6 p.m.
1/9/2017-2/15/2017
Registration Deadline: 12/30/16
Athletes are encouraged to register for both training
sessions, however they can choose session I or II if only
able to attend one.
Group #4: Girls 13-14
Monday & Friday 5-6 p.m.
1/9/2017-2/17/2017
Registration Deadline: 12/30/16
Group #5: Girls 15-19
Tuesday & Thursday 6-7 p.m.
1/10/2017-2/16/2017
Registration Deadline: 12/30/16
Group #6: Boys 15-19
Tuesday & Thursday 5-6 p.m.
1/10/2017-2/16/2017
Registration Deadline: 12/30/16
Go to sanfordpower.com for more details.
Disclaimer: No make-up sessions or refunds.
Sanford POWER
Tri-City Camps
2990 Seter Pkwy., Fargo, ND 58104
Name
Address City________________ State_______ Zipcode_________
Cell Phone (
)
Home Phone (
)
Email___________________________________________
DOB /
/
Grade M/F School __________________________ Shirt Size _______
Please check which group and session you are registering for.
Camp Name
Session Session
I
II
Amount
Group #1: Boys 8-12
$110.00
Group #2: Girls 8-12
$110.00
Group #3: Boys 13-14
$110.00
Group #4: Girls 13-14
$110.00
Group #5: Girls 15-19
$110.00
Group #6: Boys 15-19
$110.00
Total
Athletes are encouraged to register for both training
sessions, however they can choose session I or II if only
able to attend one.
*Registration Deadlines: See Camp Sessions
Disclaimer: No make-up sessions or refunds.
Registration continued on back