KickBuds Private Booking Form
Duration: 1 hour
Private Lesson
*
Guardian Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Zip Code
*
Student Information
Name
*
First Name
Last Name
Age
*
Gender
*
Sport
*
What high school will/does the athlete attend?
*
If applicable, what position/s does the athlete play?
*
Optional Additional Information
This information helps us tailor our lesson plan towards the student's precise needs.
Any specific goals in mind for the lesson?
What preferences does the athlete have towards their coach? (Age, Gender, etc.)
Preferred lesson location
Coach Request - If requested, the lesson date, time, and location may have to be renegotiated.
First Name
Last Name
Payment + Order Summary
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Private Coaching Lesson
The location of your lesson will be decided by your coach after booking.
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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