Individual/Small Group Training
Child's First Name *
Your answer
Child's Last Name *
Your answer
Parents' First Names *
Your answer
Parents' Last Names *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Child's Age *
Your answer
Child's Gender *
Child's Skill Level *
Number of Sessions Preferred *
Preferred Method of Communication *
Type of Session *
Select the all the times you could train during the week.
9am-2pm
3pm
4pm
5-8pm
Monday
Tuesday
Wednesday
Thursday
Friday
Select your preferred times to train on the weekend
8-11am
12-4pm
5-8pm
Saturday
Sunday
Optimal Session Start Date
MM
/
DD
/
YYYY
Optimal Session Location
If a small group request, please list the names of kids joining the group
Leave blank if an individual session request.
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List areas of focus for the training session
Optional
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Other comments
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