Peak Futbol Academy Client Quiz

1
Parent Full Name* This field is required.
First Name
Last Name
2
Athlete Full Name* This field is required.
First Name
Last Name
3
Contact Email* This field is required.
example@example.com
4
Contact Phone Number* This field is required.
Area Code
Phone Number
5
Athlete's Age* This field is required.
years
6
First, which of these best describes your athlete?* This field is required.
Just getting started with soccer
Has played on a rec or youth team
Currently playing on a club team
Training seriously and looking to play at the highest level
7
This session will be a group session, very structured, and demanding of your athlete's attention. Do you believe your athlete is ready for this?* This field is required.
Yes that's exactly what we are looking for!
Possibly, but I'd like to learn more
Not sure yet
8
We only offer these free sessions for serious families / athletes that are focused on long-term growth so that real progress can occur. Which best describes you?* This field is required.
We're ready to start right away
We're serious, but need more information
We're just gathering information
9
This session will take place either in The Dalles, OR or Hood River, OR. Is that location close enough for your family to commit to the FREE training session?* This field is required.
Yes
No
10
How did you hear about us?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
11
TERMS & CONDITIONS Soccer is a contact sport and, as such, injuries do happen. While Peak Futbol Academy LLC will take every precaution to ensure injuries do not occur during their coaching sessions and league matches, Peak Futbol Academy LLC, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to your child that may occur arising from any cause whatsoever during their time at a coaching session or league match. Peak Futbol Academy LLC, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to Parents or relatives of Peak Futbol Academy LLC that may occur arising from any cause whatsoever during their time at a coaching session or a match. We would advise parents to get themselves covered with your own personal insurance in relation to any sports-related injuries. Should Peak Futbol Academy LLC be unable to contact the child's parents, I hereby give my permission to Peak Futbol Academy LLC to seek medical assistance for my child. I will bear full financial responsibility for any costs incurred. Peak Futbol Academy LLC holds the rights to use images & videos & film of players for all Peak Futbol Academy LLC marketing purposes. Peak Futbol Academy LLC holds the rights for photos, videos, or film likeness to be used for any legitimate purpose including video team analysis by the activity holders, producers, sponsors, organizers, and assigns. The person entering this form MUST be the child's parent or legal guardian. By clicking that you “agree to the terms & conditions” below means that you have read, understood, and you consent to be bound by all the terms & conditions of the agreement governing Peak Futbol Academy LLC. Thank you.
AGREE with terms and conditions
DISAGREE with terms and conditions
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I am so excited that you decided to reach out to me to help your child with their soccer skills. I can't wait to work with you! I'll reach out within 24 hours regarding the FREE 1,000 touch technical soccer session!
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