Private Sessions with Eva López, PhD in Sports Performance. Request form
Dear climber/coach/physiotherapist,route setter, student, athlete,

Thank you very much for contacting me to let me know your interest in taking a 1:1 coaching session with me. The details for the sessions that I will be offering shortly are the following:
Date and slot time available:
5 October from 12:30 to 17:00.
Climbing facility:
Blocfit Brixton,
Unit 9
320a Coldharbour Lane
Brixton, SW9 8SE

If you are interested, let me know through the form below. Once I receive it, I will send you an email confirming the reservation and proposing an appointment.

Feel free to send me an email at evalopezcoach@gmail.com in case you have any questions.

Name *
Your answer
Surname *
Your answer
Address *
Your answer
City *
Your answer
Country *
Your answer
Email address *
Your answer
Phone number
Your answer
TIN (Tax Identification Number)/VAT number
Your answer
Birth date *
MM
/
DD
/
YYYY
What year did you start climbing? *
Your answer
Maximum Bouldering grade/Sport climbing grade (last 2 years) *
Your answer
Modality practiced/Professional field *
Required
What are your objectives for this session? *
Your answer
How much time would you like to book? *
Required
Please, specify a time convenient for you *
If you don't know your availability yet, leave this section blank
Time
:
Do you want to add something else?
Your answer
ADDITIONAL EXPENSES TO CONSIDER
Travel costs + entry fee to the climbing facility: 25€
YOU HAVE COMPLETED THE FORM
Once I receive your request, I will send you a confirmation email.
Check that your information is correct and read the bottom section about the payment method.
Take note of the info you think you will need further on and click "Send".
PAYMENT TERMS
- Period of payment: until 72 hours after the end of the session.
- ‎Methods:
*Bank transfer to the following account:

IBAN: ES19 1465 0100 9118 0052 2030
SWIFT: INGDESMMXXX
address: Avenida Severo Ochoa, 2. Parque Empresarial Las Rozas 28232 Madrid

*Or via Paypal to:
evalopezblog@gmail.com,

- Provide this as concept: NAME, PRIVATE_CLASS
- ‎If your bank gives you the option to send an email confirmation, please send it to evalopezcoach@gmail.com

Eva López Rivera. Climbing Coach in Sport Climbing and Bouldering. PhD in Sport Performance
Thank you very much for your interest. See you soon!
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