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We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ </style> <div id="mc_embed_signup"> <form action="//speeddoctor.us11.list-manage.com/subscribe/post?u=65179ae959365813bca2a4a4a&id=2c192972cc" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Athlete's Goals & Request to Train</h2> <div class="indicates-required"><span class="asterisk">*</span> indicates required</div> <div class="mc-field-group"> <label for="mce-FNAME">First Name <span class="asterisk">*</span> </label> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-MMERGE3">Last Name <span class="asterisk">*</span> </label> <input type="text" value="" name="MMERGE3" class="required" id="mce-MMERGE3"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">Email Address <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Age <span class="asterisk">*</span> </label> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Height </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group"> <label for="mce-MMERGE5">Weight </label> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"> </div> <div class="mc-field-group"> <label for="mce-MMERGE6">Sport(s) Played <span class="asterisk">*</span> </label> <input type="text" value="" name="MMERGE6" class="required" id="mce-MMERGE6"> </div> <div class="mc-field-group"> <label for="mce-MMERGE7"># of Years Played </label> <input type="text" value="" name="MMERGE7" class="" id="mce-MMERGE7"> </div> <div class="mc-field-group"> <label for="mce-MMERGE8">Injuries </label> <input type="text" value="" name="MMERGE8" class="" id="mce-MMERGE8"> </div> <div class="mc-field-group input-group"> <strong>Goals (select one or more) </strong> <ul><li><input type="checkbox" value="1" name="group[8501][1]" id="mce-group[8501]-8501-0"><label for="mce-group[8501]-8501-0">Speed</label></li> <li><input type="checkbox" value="2" name="group[8501][2]" id="mce-group[8501]-8501-1"><label for="mce-group[8501]-8501-1">Quickness</label></li> <li><input type="checkbox" value="4" name="group[8501][4]" id="mce-group[8501]-8501-2"><label for="mce-group[8501]-8501-2">Vertical Jump</label></li> <li><input type="checkbox" value="8" name="group[8501][8]" id="mce-group[8501]-8501-3"><label for="mce-group[8501]-8501-3">Running Form</label></li> <li><input type="checkbox" value="16" name="group[8501][16]" id="mce-group[8501]-8501-4"><label for="mce-group[8501]-8501-4">Agility</label></li> <li><input type="checkbox" value="32" name="group[8501][32]" id="mce-group[8501]-8501-5"><label for="mce-group[8501]-8501-5">Flexibility</label></li> <li><input type="checkbox" value="64" name="group[8501][64]" id="mce-group[8501]-8501-6"><label for="mce-group[8501]-8501-6">Conditioning</label></li> <li><input type="checkbox" value="128" name="group[8501][128]" id="mce-group[8501]-8501-7"><label for="mce-group[8501]-8501-7">Core Strength</label></li> <li><input type="checkbox" value="256" name="group[8501][256]" id="mce-group[8501]-8501-8"><label for="mce-group[8501]-8501-8">Leg Strength</label></li> <li><input type="checkbox" value="512" name="group[8501][512]" id="mce-group[8501]-8501-9"><label for="mce-group[8501]-8501-9">Upper Body Strength</label></li> <li><input type="checkbox" value="1024" name="group[8501][1024]" id="mce-group[8501]-8501-10"><label for="mce-group[8501]-8501-10">Power</label></li> <li><input type="checkbox" value="2048" name="group[8501][2048]" id="mce-group[8501]-8501-11"><label for="mce-group[8501]-8501-11">Reaction Speed</label></li> <li><input type="checkbox" value="4096" name="group[8501][4096]" id="mce-group[8501]-8501-12"><label for="mce-group[8501]-8501-12">Recovery</label></li> <li><input type="checkbox" value="8192" name="group[8501][8192]" id="mce-group[8501]-8501-13"><label for="mce-group[8501]-8501-13">Mental Toughness</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;"><input type="text" name="b_65179ae959365813bca2a4a4a_2c192972cc" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Submit" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div> <!--End mc_embed_signup-->

Direct Contact Info

Nabie Fofanah:  2x Olympian in the 100 Meters

Certifications: NASM, ACSM, USATF, USAW, KBC

Address: Los Angeles, CA

Phone: 646.421.9683

Email: nabie@speeddoctor.com