Soccer Performance Academy
Please fill this form out with accuracy and specifics. The more specific you are the better I can help develop your child. Thank you for your trust in me to help maximize your son or daughter's soccer potential.
Disclaimer
The contents of this worksheet and any follow-up contents are strictly confidential and will only be disclosed to Travis DiLeo.
Player Name
*
Player Age
*
Player Skill level
*
complete beginner (never played)
been playing, but no formal training
somewhat competitive
advanced
Player shirt size
*
YS
YM
YL
AS
AM
AL
Club team & coach (if it applies)
Please select all of the training options you are interested in (this is NOT a commitment. I just wish to know your current interests).
*
Weekly 1-hour semi-private lessons (averages 6 kids per group)
Shooting clinics (1.5 hour)
Summer Camps (3 days, 2.5 hours/day)
After-school skill training courses
If you have any additional comments or questions, please type them in here.
Parent name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Where did you hear about us? Thank you!
*
Submit
Should be Empty: