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IN PERSON TRAINING FORM

Check below if you are a new client

New Client

Child First Name *

Child Last Name *

Child's Gender *

Gender

Male
Female
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Child's Age *

Parent/Guardian Full Name *

Additional Children Ages

Child 1
Child 2
Child 3

Additional Children Names

Child 1
Child 2
Child 3

Phone *

Email *

Skill Level *

Select Your Skill Level

Beginner
Intermediate (Can do combo dribble, reverse layup w/ L&R, etc)
Advanced (Has High Ball IQ & High Technical Skill)
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What Type of Training *

Choose Your Training Service

Basketball
Vertimax Jump Training
Dr Dish Shooting Machine
Interactive Training (Noah/ Lazer/ Mastermind Cognitive Virtual Training/ Vrep Virtual Training)
Private Consultation (recruitment, guidance, strategy)
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What Kind of Training are you looking for *

Select Your Training Format

Individual
Team Training
Fundamental Group Training with Head Trainer (4 People Max)
Ball IQ Group Training with Head Trainer (4 People Max)
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Purpose for training *

What’s Your Main Goal?

Just For Fun
To Keep Active or Exercise
To Learn the fundamentals
To make the team (City or Travel Team/ Middle or High School)
To Dominate and Play College/ Adult/ Semi Pro/ Professional Ball
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How did You find Us *

How did you hear of us

Word Of Mouth
Referred by Existing Client
Flyer/Commercial
Social Media Facebook/Youtube/Instagram/Tik Tok
Internet Search (Google,etc.)
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Please Select Availability *

When Are You Available

Weekdays
Weekends
Both
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Choose Your Interactive Training

Pick Your Interactive Zone

Noah
Mastermind Cognitive Virtual Training
Vrep Virtual Training
Shooting Analytics
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If applicable

Evaluation Acknowledgment *

I acknowledge that all evaluation trainings must be paid in full prior to the scheduled training date.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

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