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SSA 1 on 1 session form
‘Tailor made sessions for the players’
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* Indicates required question
What type of session do you require?
*
Choose
Goalkeeper
Outfield
Both
What 45 mins intensive session do you require?
*
Choose
1 on 1 session £35
2 on 1 session £45
3 on 1 session £50
What day suits you?
*
Choose
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Parent name
*
Your answer
Child name
*
Your answer
Child’s date of birth
*
MM
/
DD
/
YYYY
Child’s Medical conditions - (no if not applicable)
*
Your answer
Contact number
*
Your answer
Do you allow first Aid to be administered to your child?
*
Yes
No
Player experience
Choose
First session
Some experience
Plays in a team
What position do you play?
*
Your answer
Player improvement criteria
*
What would the player like to improve on?
Your answer
Coach preference
*
Choose
Mike
Dan
Either Coach
Player check list for sessions
Footware
Drink
Appropriate clothing
Parents consent - sign
*
Your answer
Submit
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