Name * First Name Last Name Email * Phone * (###) ### #### Are you new or returning? * First Time (at this cohort or in general) I'm Returning How has your week been? (1-low 10-high) * 1 2 3 4 5 6 7 8 9 10 What is one thing you are proud of yourself for this week? What is one good thing that happened this week? Are you interested in hearing about coaching? Yes No Thank you! Attend our TeenUnderdogs Club in EugeneRequired in order to attend our Eugene Underdogs Club