Player Intake Form

Please fill out with as much detail as possible so we may customize your training sessions.

Player Information

Player's Full Name *

Date of Birth

Team / Club Currently Playing For (if any)

Current Position Played

How Many Years Have You Been Playing Soccer?

Preferred Position — 1st Choice

Preferred Position — 2nd Choice

Are You Predominantly One-Footed, or Do You Feel Comfortable Using Both Feet?

Mostly right-footedMostly left-footedComfortable using both feet

Have You Had Private Coaching Before?

YesNo

Is There Anything Additional I Should Know Prior to Training That May Impact Play or Performance? (e.g. health, injuries)

Skills & Goals

What Are Your Strengths as a Player?

Has Your Coach Given You Any Comments or Notes on What You Can Improve On?

What Are Your Main Goals for Private Training? (Select all that apply)

Improve ball mastery skillsImprove dribbling & ball controlImprove passing & first touchImprove shooting & finishingIncrease agility & coordinationBuild speed or enduranceIncrease tactical/game awareness (positioning, decision making, movement off the ball)

Are There Specific Areas of Your Game You Want to Focus On?

What Time Frame Would You Like to Achieve These Goals?

Do You Have Upcoming Tryouts, Games, or Events You Want to Prepare For?

Training Preferences

What Type of Training Are You Interested In? (Select all that apply)

Private TrainingCampsPrograms

How Often Would You Prefer to Train?

Training Availability (Select preferred days & times)

Preferred Training Locations (Select all that apply)

These areas include outdoor spaces, parks, fields, as well as indoor spaces depending on availability.

Other location:

Parent / Guardian Contact Info

Parent / Guardian Full Name

Phone Number

Best Way to Contact You (Select all that apply)

Phone CallTextEmail

Release & Agreements

How Did You Find Out About Us?

Media Release

By participating in training sessions with Boots & Ballers, I understand that photographs and/or video recordings may be taken during sessions. I authorize Boots & Ballers and Coach Mac to use my child's image, likeness, and recorded performances for promotional, marketing, educational, and business purposes, including but not limited to social media platforms, websites, advertisements, brochures, and other business materials. No compensation will be provided for such use.

Yes, I grant permission for photos/videos of my child to be used.No, I do not grant permission for photos/videos of my child to be used.

Payment Agreement: I understand the pricing to train with Boots & Ballers and that payment is due prior to the session. Cancellations must be made 24 hours before the scheduled session. *

You can return and update your form at any time before your session.

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