Participant's Name *

First Name

Last Name

Phone *

(###)

###

####

Today's Date *

MM

DD

YYYY

How would you like to be billed? *

Credit Card

ACH (Preferred)

Account Type

Consumer Checking

Business Checking

Consumer Savings

Business Savings

Phone Number (Account)

Phone Number (Account)

(###)

###

####

I authorize Titan Forge Athletics (Big Andy Training LLC) to charge my credit card (or my bank account) above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account. *

I AGREE

Cancellation policy: Your appointments and well-being are very important to us. We understand that sometimes unexpected delays can occur, leading to schedule changes. If you need to cancel your appointment, we respectfully request at least 24 hours notice. This will allow us the opportunity to try to fill the appointment. We will try our best to reschedule you for the same day. Any cancellation or reschedule made less than 24 hours in advance will result in being charged for that session. *

I AGREE