Athlete’s Registration Please enable JavaScript in your browser to complete this form. - Step 1 of 4Which combine will you be participating in?July 24th - Wisconsin Combine (University of Ripon) - $ 199.00August 6th - Iowa Combine (University of Dubuque) - $ 199.00NOTE: Registration for the June 11th Combine at Friends University in Kansas is now CLOSED.NextYou are signing up to compete in *Women's eventsMen's eventsWhich event are you entering for? *DistanceSprintsPole VaultHurdlesThrowsJumps<strong>I would like a Bellin Health Assessment</strong>I would like a Bellin Health assessmentBellin Health Assessments for mid-distance, distance running, sprinting, and throws assessments include: • A recorded video assessment complete with our SIMI motion-capture software • An evaluation of strength and flexibility along with additional specific special tests to measure for injury complaints • A take home report with photos of key points in a runner’s stride and a report of the foot mapping technology provided by our pressure sensitive treadmill • Gait retraining instructions with a personalized home program to address assessment findings • Access to a team of sports medicine professionals including running experts, physical therapists, licensed athletic trainers, primary care physicians and orthopedic surgeons dedicated to helping you reach your running goals Bellin Health Assessment are a $200 value - discounted 50% ($100) exclusively for the Connxt Combines.Total$ 0.00NextAthlete Information *FirstLastStateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSchool NameEmail *Shirt Size *Select Shirt SizeSmallMediumLargeXLXXL3XL4XLEvery participating athlete will recieve a free Connext t-shirtAgeI am 18 or olderParent or Guardian Information *FirstLastParent or Guardian Email Address *Current year in school *Current year in school8th Grade9th Grade - Highschool Freshman10th Grade - Highschool Sophomore11th Grade - Highschool Junior12th Grade - Highschool SeniorWaiver *I agree to the terms and conditions belowTOCPreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Total$ 0.00Payment Inormation *Credit Card field is disabled, Authorize.Net payments are not enabled in the form settings.Name on Card *FirstLastBilling AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMake ChangesSubmit
