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TRAINING REGISTRATION FORM
To register, please take the time to fill out the information below.
Athlete First name
Athlete Last name
Athlete Birthday
Parent/Guardian Name
Email
Phone
School
What is the AGE of the athlete?
*
5 years or younger
6 - 9 years old
10 - 13 years old
14 - 17 years old
18 - 25 years old
26 - 44 years old
45 - 64 years old
65 or older
What specific skill(s) needs improvement? (Check ALL that apply)
*
Required
Ballhandling / Dribbling
Shooting and/or Passing
Rebounding
Footspeed / Agility
Physical Strength
Conditioning
Mental Toughness
Offensive Techniques
Defensive Techniques
Other:
Grade
How many years of basketball experience does athlete have?
*
No experience
1 - 2 years
2 - 5 years
5 -7 years
7+ years
How often would he/she like to receive training?
*
Required
Once per week
2 or more times per week
As recommended by ANH Coach
Weekend days ONLY!
Weekdays (Select most preferred)
Monday
Tuesday
Wednesday
Thursday
Friday
Training times preferred each WEEKDAY (Monday - Friday)?
Early mornings (before 9 am)
Mid - Mornings (9 am - Noon)
Early Afternoon (12 - 3 pm)
Late Afternoon (3 - 6 pm)
Evenings (after 6 pm)
Not Available during Weekdays (M - F)
Training times preferred each WEEKEND (Saturday - Sunday)?
Early Mornings (before 9 am)
Mid - Mornings (9 am - Noon)
Early Afternoon (12 - 3 pm)
Late Afternoon (3 - 6 pm)
Evenings (after 6 pm)
Not Available on Weekends (Sat. - Sun.)
How long would you like your lessons to last?
30 - 45 minutes
60 minutes
90 minutes (1.5 hrs.)
120 minutes (2 hrs)
As recommended by ANH Coach
How would you prefer to meet Coach for receiving training?
I will travel to coach.
Would like Coach to come to me. (I will provide location)
I'm only willing to travel as far as...(see distance below)
15 - 25 miles (max)
Flexible * * (within 1-hour Drive max!)
How close are you to confirming a final commitment?
Just beginning the process.
Still searching for best coach.
Ready to hire a coach now!
Very interested, but need more information (Please call me)
When would you like to start training lesson(s)?
As soon as possible, (This Week!)
Within the next 1 - 2 weeks
I'm Flexible. Will work around Coach schedule
Specific day(s) preferred (see below)
Monday
Tuesday
Wednesday
Thursday
Friday
Do you know other potential prospect for training? Who are they?
Sibling
Relative
Friend
Classmate
Teammate
Church Member
Parent/Guardian
Other:
Did the athlete play on a school team this recent basketball season?
Middle School
High School
College
Pro
Choice 1
Would the athlete like to attend our SUMMER BASKETBALL CAMPS beginning in June?
1 Week (5 days, M - F)
2 weeks
3 weeks
4 weeks
Preferred Weekly Options
Are you on or planning to be on an AAU Team this spring / summer?
Yes
No
Undecided
If possible, I would like to play on our ANH Team.
Not available this spring or summer (have other plans)
If preferred weekly options, select one below
1 Day A Week
2 Days A Week
3 Days A Week
Submit
CHOOSE WHICH TRAINING SESSIONS YOU WOULD LIKE TO PURCHASE
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