Reservations

You may use this form to inquire about the development of a unique personal coaching or group coaching plan, or to reserve a spot in an existing program. All program reservations will require submission of the waiver via the checkbox, and will require the subsequent payment of a deposit to guarantee your reservation in the program. Early reservations will be given priority. If the athlete is under the age of 18, you will need to submit all parental information and we will require a return email from the parent(s) to acknowledge the waiver.

* indicates a required field

For Individual Athletes - About Me:

Name:

Sex: Male Female

Date of Birth: mmddyyyy

Age By Dec. 30:

Height:

Weight:

Address:

City State Zip City / State / Zip:

Phone:

Cell Phone:

Email Address:

Best Contact Time: AM PM

Primary Sport:

Other Sports:

Performance Goal:

For Groups or Teams

Team Name:

Coach Name:

Contact Address:

City State Zip City / State / Zip:

Team Phone:

Team Phone2:

Team Email:

Sport:

Reservation/Information

Request Type:

Hockey
Volleyball
Individual Coaching
Group
Team
Other - Please specify below

Other:

Session Type:

(Hockey) Summer Camp
(Hockey) In Season Training
Elite Program - Individual
Group Program
Team Program

If you selected "Group Program" above, please supply details below and we will contact you with a group price structure.

Additional Comments/Details:

By checking this box I acknowledge that I am 18 years or older and have read and agreed to the waiver outlined on this form.

By checking this box, I confirm that I am under the age of 18 and that my parent named below will read and acknowledge agreement to the waiver on my behalf in order for my reservation to be complete. My parent(s) or legal guardian can be reached at the following:

Parent / Gaurdian Contact Information

Name:

Address:

City State Zip City / State / Zip:

Phone:

Work Phone:

Email Address:

Use this address for billing