Private Coaching Request Form
Our veteran team of coaches provide individualized training for students and adults across the United States via Skype, or in person in the Dallas-Fort Worth area. Coaching sessions are ideal for students and adults who would like to advance their skills at a faster pace. Time-slots are available 8:00am to 9:00pm Central Time on a first-come basis.

Complete the information below, press Submit, and mail payment the same day in order to reserve your spot. During the regular season, payment must be made for a minimum of 6 sessions to allow time sufficient time for the training to produce expected results. However, as the season draws to a close, less than 6 sessions can be reserved. Higher rates apply for reservations of less than 6 sessions. Coaching fees are not refundable - your payment is your commitment that you or your student(s) will attend the coaching sessions that you reserved.

Length of Coaching Sessions:
Reserve 1.0 hour per week for Speech, Interview Skills, History or Writing coaching (1.5 hours for DUO).
Reserve 1.5 hours per week for Lincoln Douglas debate, Moot Court, Congress or Business Communications coaching.
Reserve 2.0 hours per week for Policy debate, Parliamentary debate, or Public Forum (PF) coaching.

Note: Team Policy and PF debaters, private coaching is available for the team (both partners), not individuals

Student First & Last Name *
Enter the name of the person to receive coaching
Your answer
Student Email *
Enter the email address of the person receiving coaching
Your answer
Student Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Name of Club, School, or Organization *
Enter the name of the name of Speech/Debate Club, School or Organization that the student attends
Your answer
Parent First & Last Name
Your answer
Parent Email Address *
A copy of your coaching request will be sent to this email address
Your answer
Parent Cell Number *
Format: # nnn-nnn-nnnn
Your answer
Street Address
Enter your street address (for in-person coaching)
Your answer
City *
Enter the name of the city where you live
Your answer
State *
Enter the State where you live
Your answer
Type of Coaching (check all that apply) *
Select the type of private coaching you are requesting (check all that apply)
Required
Name & email address of Policy debate or Duo partner (if applicable):
Enter partner name and email address
Your answer
Meeting Location *
1st Choice (day, time): *
Specify the ideal day/time to meet for coaching (include timezone)
Your answer
2nd Choice (day, time): *
Specify an alternate day/time to meet for coaching (include timezone)
Your answer
Start Date: *
The date that you would like to start
Your answer
Goal for the season: *
Your answer
Name of the league you compete in: *
Your answer
Experience level: *
Beginner, Intermediate, Advanced
Your answer
Has this student attended a DFW Speech/Debate summer camp? *
PAYMENT INFORMATION
Payment must be made for a minimum of 6 coaching sessions at a time
Select coaching sessions (check all that apply): *
(Higher rates apply for requests for less than 6 sessions)
Required
TOTAL DUE *
Add up the cost of the coaching sessions selected above
Your answer
Anything else you would like us to know?
Your answer
Coaching Preference? (optional)
Specify the name of the coach you would prefer to work with (if he/she is available)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.