PLAYER PROFILE

Please complete your player profile so we can properly assess

your skill levels and what you need help with most.

First Name *

Last Name *

Phone *

Email *

Password *

Gender *

Male

Female

Date of birth *

Your Shirt Size *

CURRENT PLAYING STATUS

What Team(s) do you Currently Play for? *

What Position(s) do you Play? *

Do you train or your own? If so how often? *

Please list physical activities you participate in outside of soccer: *

MEDICAL / HEALTH INFORMATION

Any Health Problems that can Affect your Training? *

Are you on any medications? (Inhaler for Example) *

If you have any injuries, please list them.

GOALS

Please rate your Fitness Level. *

Which of these options Fits your Goal(s)? I want to Improve *

Technical Skills

Fitness Endurance Speed

Tactical Awareness

Confidence in Abilities

What would You like to Achieve During our Training? *

What Difference Would it Make in your Game to Achieve it? *

What is Holding Back from Achieving your Goals? *

Choose a PST Program *

Ultra Package - $437.00
Super Package - $329.00
MEGA Package - $763.00
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Please Read The Following Terms and Conditions.

1.) CANCELLATIONS

Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions canceled less than 24 hours in advance will be charged in full.

2.) LATE ARRIVALS

Each session shall be 1 hour in length. Please arrive 10 minutes before the scheduled time for warm-up, or any questions you may have.

3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

I AGREE TO THE ABOVE TERMS & CONDITIONS! *

Yes

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