KCT Registration Form

Kiddie Coach Tutoring Registration Form

Please be sure to fill in all areas.
Player First Name*
Player Last Name*
Player Birth Date*

MonthDayYear
Current Grade Level*
Subject Areas*
Player Team*

Tiny Tots (2-3)Little Sluggers (3-5)Rookies of the Year (5-8)Junior League (8+)
Parent Contact Name*
Parent Contact Phone*

Area CodePhone Number
Parent Contact E-mail*
Address: Street*
City, Zip Code*
Session Options

In-Person SessionsVirtual SessionsHybrid - Both In-Person and Virtual Sessions
Desired Session Days

Monday PMTuesday PMWednesday PMThursday PMSaturday AM
Weekly or Bi-weekly Sessions
Session Length

30 mins ($30) ( Age 5 & under)45 mins ($45)60 mins ($60)90 mins ($90)120 mins ($120)
Enrollment Length

School Year Enrollment3 month Enrollment6 month Enrollment9 month Enrollment
Consultation/Try-Out Date

Schedule with Kiddie Coach
Comments / Questions:
Should be Empty:

Kiddie Coach Tutoring Registration Form