I understand I am completing an application to show interest in a Mental Performance Training Camp for High School Athletes at D1 Training Jacksonville, Florida. Each camp runs Saturday 12-4 pm, Sunday 9 am-12 pm
Athlete's Name
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Athlete's Phone
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School, Grade or Class, Age
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Sport, Primary position, Height & Weight
This is not a “showcase camp” where you run through drills with 100 athletes and no coaches talk to you the entire day. Our Camp is designed to give 1 on 1 Coaching in small groups so the Athlete gains more Confidence, More Focus so they can Perform better in their sport.
The Mental Performance Training Camp is 100% designed to Push Athlete’s Performance to a higher level. We give Coach J permission to push my athlete to get breakthrough. I want my Athlete challenged, uncomfortable, learning, sweating so they can mature & compete better in their sport.
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We encourage parents to mingle with other parents and share your journey. Parents can be in facility for Training but CANNOT ask questions of Coaches or communicate with their Athlete in gym.
My athlete has no health issues that would prevent them from an intense workout. I will sign a waiver to workout at D1 included in this 1 day camp.
I understand the Mental Performance Training Camp includes College Prep Coaches, Training, & Facilities. Camp DOES NOT provide Hotel, Travel or Food.
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Most accurate description of current state of Athlete:
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Athlete's Main Issue(s) Need Help with
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Check which statement(s) apply:
What kind of outside training? give as much detail as possible
Is Athlete on Medicine or Vitamin Supplements
Is your athlete currently involved with marijuana, vaping or any illegal drugs?
How can Coach J help your athlete at this Camp?
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How eager is athlete to attend this Camp?
Managing Parent's Name
Main parent managing athlete. Coach J's parental contact
First Name
Last Name
Managing Parent's Phone
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Managing Parent's Email
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Supportive Parent
Managing Parent's Spouse
First Name
Last Name
Supportive Parent Phone
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Supportive Parent's Email
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Payment Methods
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$250 deposit required to hold the spot or must be paid in full by July 1. 5-15 spots available, once full, camp is closed. It is refundable up to 14 days before event. Total $500
I understand that there are limited spots for these camps. Facilities have been rented, Coaches contracted & commitments made to accommodate your athlete. If you do not make the payment deadlines, If you leave the camp early or quit, no money will be refunded. If your Athlete is disrespectful, we will give 1 warning & then they will be dismissed for unacceptable behavior or attitude.
After event, parents can have access to Coach J, I understand that every phone call with Coach J is billable time ($120/hr, $75 half hour).
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I understand that Coach J cannot be held liable for any future actions by my child that result in injury, damages, financial and otherwise
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Please share any additional information we need to know.
I understand that this Camp does not discriminate to different categories of people, especially on the grounds of ethnicity, age, sex or disability.
Who participated in completing this form?
How did you hear about Mental Performance Camp? If referral, please add name.
If staying overnight, we recommend the Hyatt Place Hotel in St John’s Town Center 4742 Town Center Parkway, Jax Florida 32246
Coach J is listed on Psychology Today as Coach J, Facebook as Jay Holgate and on X as @collegescoutfb. Website is sportsintervention.com
Thank you for your time and commitment. I look forward to working with your athlete so they can maximize their performance and be the best they can be.
