HSH+ Mentorship Rego Form

HSH+ Mentorship Program

The HSH+ Mentorship Program (27 April - 31 May) offers players 1-on-1 coaching, semi-private (2-6 players) sessions and weekly mentorship. Players can work closely with Heart & Soul Hoops coaches to develop skill, learn good habits & build confidence in an enriching environment. Private coaching sessions are running @ The Kings School, Dural Recreation Centre, Bernie Mullane Sport Complex, Five Dock Recreation Centre, Willoughby Leisure Centre. Book now to save your spot>>
Name *

First Name Last Name
Phone Number *
Country Code- Area Code- Phone Number
Email *
example@example.com
Select your Mentorship Package Type *

Private Coaching (1 on 1) Semi-private Coaching (2-6 players) Mentorship Package (Privates + Group Training)
Preferred Start Date *

Month Day Year
Date
Session Times Available
Preferred Venue *

Five Dock Leisure Centre Dural Recreation Centre Bernie Mullane Sports Complex The King's School Willoughby Leisure Centre
Gender *

Male Female
Select Your Age Group(s) *

Juniors (8-14 yrs) Seniors (15-19 yrs) Adult (20+ yrs)
Playing Level(s): *

Beginner Intermediate Advanced Professional
For COVID-safety, players over 16 years must be vaccinated. Are you vaccinated? *

Yes No
Select Your Training Goal(s)

Get in shape Build skills & fundamentals Get a routine Challenge & motivation
Select Your Playing Goal(s)

Get playing time Get recruited Find a team Build confidence & decision making Score points
How did you hear about us?
Did a Coach refer you? If yes, please select your Coach's name below:
Comment or Message *
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HSH+ Mentorship Program