Lesson/ Conditioning/ Court Rental Request Form
This form must be completed at least 72 hours prior to a lesson. You will receive an email accepting or declining your request within 24 hours of your request. Upon acceptance, all participants will need to complete form and waiver. Only one request per session/ group is required. Any lesson canceled with less than 2 hours notice will be charged for the full amount.
ONE FORM PER LESSON/ GROUP REQUEST IS REQUIRED!
If you have questions regarding availability, fees, etc. please email our Club Director, Aireka Wright at impactsportsacademy14@gmail.com.
Player's Name
*
First Name
Last Name
Current Grade
*
Gender
*
Are you currently in season for your school team?
*
Yes
No
School
*
Additional Player's Names
Parent Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Program requesting
*
Please Select
Lesson
Conditioning
Lesson/Conditioning Mix
Court Rental with Lesson Plan (Member Only)
Court Rental with No Lesson Plan (Member Only)
What skills would you like to work on?
Outside Hitter
Middle Hitter
Defense
Setting
Serving
Conditioning
Membership
*
Impact Sports Academy Member (Valid OVR Membership with Impact as Club)
Impact Sports Academy Non-Member
Type of Lesson/ Conditioning per Hour
*
Private (1 Player)- $55member /$65non-member
Semi-Private (2-Players)-$45 member/ $55 non-member
Group (3+ Players)- $35member/ $45 non-member
Team Training (6+ Players)- $25 member/ $35 non-member
Court Rental with Lesson Plan-$25 (Members Only)
Court Rental Only-$15 per hour plus $5 each additional player (Members Only)
Duration of Lesson/Conditioning/ Training Session:
*
30 Minutes
1 Hour
1 Hour 30 Minutes
2 Hours
Who are you interested in doing a lesson with?
*
Director- Aireka Wright (Limited Summer Availability)
First Available Impact Coach
Specific Impact Coach
Court Rental (No Coach)
If interested in doing a lesson with a specific impact coach, please provide name below:
Required for each participant. Main registrant is required to forward waiver to everyone. I understand this requirement.
*
Yes
No
IMPACT SPORTS ACADEMY WAIVER FORM
Initial Date Requesting
*
If interested in multiple sessions, please list additional dates and times below:
Submit
Should be Empty: