Disclosure and Consent Form

Purpose of Services

Mission Performance provides educational mental performance services for athletes, coaches, teams, and performers. These services are designed to teach skills that may support performance, confidence, focus, leadership, communication, resilience, preparation, and personal growth.

Participant Information

Emergency Contact (Name and Phone Number):

Signatures

Participant Signature:

Printed Name:

Parent/Guardian Signature (if participant is under 18):

Printed Name:

Relationship to Participant: