Group Skills Clinic Request
Thank you for your interest in a Grindhouse Lacrosse Group Skills Clinic! Once we receive your request, Ryan Broderick, Founder of Grindhouse Lacrosse, will personally review your information and contact you to discuss your clinic, answer any questions, and coordinate scheduling, location, and pricing. We look forward to helping your athletes.
Organizer Information
Parent / Organizer Name
*
First Name
Last Name
Team or Organization
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Clinic Details
Preferred Timeframe
*
As Soon as Possible
Within 2 Weeks
Within 1 Month
Specific Date(s)
Preferred Date
*
-
Month
-
Day
Year
Date
Alternate Dates
-
Month
-
Day
Year
Date
Preferred Time of Day
*
Morning
Afternoon
Evening
Player Information
Number of Players (5 minimum / 10 maximum unless approved by Grindhouse Lacrosse)
*
5
6
7
8
9
10
TBD
Players
*
Boys
Girls
Grade Levels (select all that apply)
*
Kindergarten - 2nd Grade
3rd - 4th Grade
5th - 6th Grade
7th - 8th Grade
High School
College
Experience Level
*
Beginner
Recreational
Club
Advanced
Mixed
Training Emphasis
What Would You Like the Clinic to Emphasize? (select all that apply)
*
Stick Skills
Passing & Catching
Shooting
Dodging
Ground Balls
Defense
Footwork
Speed & Agility
Lacrosse IQ
Goalie Training
Faceoff Training
Tournament Preparation
General Skills Development
What Are You Hoping Your Players Gain From This Clinic?
*
Location
Preferred Training Location
*
We Already Have a Field Reserved
We'd Like to Use a Local Park
We'd Like to Use a Local Indoor Facility
We'd like Grindhouse Lacrosse to Recommend a Location
Preferred Location (if Known)
Additional Information
Is there anything else you'd like us to know about your players or your clinic?
How Did You Hear About Grindhouse Lacrosse
*
Family or Friend
Social Media
Internet Search
Coach Recommendation
Tournament or Event
Yard Sign
Flyer or Other Marketing
Returning Grindhouse Client
Other
Submit Request
Should be Empty: