Only $29.95 (limited time offer)

Note: All racquetball videos should be sent to the address below.  If you would like to have the video returned, please also include a self-addressed stamped envelope.

6036 C Blue Ridge Dr. 
Highlands Ranch, CO 80130

Name: 

Address: 

City: 

State/Providence: 

Zip Code: 

Country: 

Phone: 

Email: 

Age: 

Height: 

Weight: 

Right or Left Handed: 

Years Playing: 

Greatest Racquetball Accomplishments: 

Greatest Racquetball Disappointments: 

Racquetball Goals: 

Planned Future Racquetball Events: 

Describe Your Game Style: 

How many times do you play a week: 

How many times do you practice a week: 

Strengths: 

Weaknesses: 

Past Injuries: 

Current Injuries: 

Are you on any kind of a diet: 

Would you like nutritional consultation: 

Are you on an off-court training program: 

Do you have a stretching program: 

How much time do you spend stretching: 

Club Affiliation: