1-on-1 Registration Form

1-on-1 Training Enquiry:

Train w/ Ultrafooty Staff Members
Full Name*

First NameLast Name
Parents Name (If under 18)

Full Name

Phone Number

CityState / Province

Postal / Zip Code
Parents E-mail (If under 18)
example@example.com
Age*
Cell Phone Number*
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position (I.E. Striker/Winger)*
Highlight Tape Link
Club/Team*
What level do you play?*

ProfessionalSemi-ProfessionalCollegeFree-AgentPro-Youth Academy (MLS Next)High SchoolClub Soccer (ECNL,NAL,NPL, EDP, etc.)Recreation (Grassroots)
Rate your technical ability

1

2

3

4

5

1 is Worst, 5 is Best
Rate your knowledge and understanding on your position

1

2

3

4

5

1 is Worst, 5 is Best
Rate your decision making skills

1

2

3

4

5

1 is Worst, 5 is Best
What are your personal goals?*
What are you looking to improve?*
The process of players we choose to work with is highly selective; why should we take you up as client?*
First time doing 1on1 training?*

YesNo
What day/days of the week suit you best? Time?*
How many times a week are you looking to train?*
Indoor (Livingston)OutdoorBoth (all-year round)
Payment Method*

VenmoZelle
Venmo Username?
Zelle Information?
How did you hear about us?*

FacebookInstagramLinkedInWebsiteWord of mouth/ FriendOther
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1-on-1 Training Enquiry: