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 Year2017 or younger20162015201420132012201120102009200820072006 or older

The Player's Current Position GoalieDefenderMidfielderForward

The Player's Preferred Position GoalieDefenderMidfielderForward

The Player's Current Team/Club

Is he/she on the top team, 2nd team, 3rd team, 4th team, or 5th/lower team for their club? Top Team2nd3rd4th5th 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 with Expert Coach = $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)