Your First Name

Your Last Name

Your Email

Your Phone Number

Where are you located (so we can determine the best facility)?

The Player's First Name

The Player's Gender MaleFemale

The Player's Birth Year2015 or younger20142013201220112010200920082007200620052004 or older

The Player's Current Position GoalieDefenderMidfielderForward

The Player's Preferred Position GoalieDefenderMidfielderForward

The Player's Current Team/Club

The Player's Current Level Team in Club Top Team2nd3rd4th or lower

The Player's Current Strengths

DribbblingReceiving / First TouchPassingAwarenessPhysicalityDefendingLong PassesShootingFinishing

The Player's Current Weaknesses

DribbblingReceiving / First TouchPassingAwarenessPhysicalityDefendingLong PassesShootingFinishing

The Player's Work Ethic StrongAbove AverageAverageBelow AverageWeak

What price point(s) would currently work for you on a weekly/semi-weekly level? PLEASE SELECT ALL THAT WOULD WORK

7 + Players = $355 or 6-Player = $404-Player = $503-Player = $602-Player = $701-Player = $1251-Player w/ Kyle =$200 to $250

The Player's Passion For The Game StrongAbove AverageAverageBelow AverageWeak

Which day(s) are open for supplemental training?

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays

When would you like to start training with TPD Skills Training?

Now or ASAPIn a couple weeksIn about a monthA season that's a few months away

Coaches Evaluation (not mandatory but recommended)

Where did you hear about us

Additional Comments (optional)