CLUBMAX COACHING: Coach Application Form

  
 
Coach Membership Includes: Practice Plans, Video Training, Game Day Guides,
The Tryout Center, Online Player Evaluations and the Coaches Forum
 
Basic:
 For only $59.95 per year coaches will have total access to the Clubmax Website.
Team Option:
 For an additional $49.95 per year you can get have every player that you are coaching access the Video Training Center. Usually it’s $39.95 per player.
 
Contact Information
Soccer Club Name:
Coach's First Name:
Coach's Last Name  

Address:

City:
State:
Zip:
Email:  
Daytime Phone:
Evening Phone:
     
Choose an Option
    
Basic Coach's Membership ($59.95 per year)

Choose a Coach's User Name and Password
Coach's User Name:
Coach's Password:
     
Team Option: For an additional $49.95 per year you can enroll every player on your team, giving them access to the entire Video Training Center Library

Choose a Players' User Name and Password
Players' User Name:
Players' Password:
 
Please select your preferred form of payment
By Check

I am submitting this form electronicaally and will mail a check payable to ClubMax Coaching to 58 hawks Hill Road, New Canaan, CT 06840. I understand my access with be initiated upon receipt of the check.
 
Amount I am sending by mail:
 
Check Number:
 
Date Check Sent:
 
By Charge
 
Account number on card:
Expiration date on card:
Name as it appears on your card:
 
 

Please note: All online information from this form is handled by a secure server.
   
 

Upon subscribing, ClubMax Coaching™ will contact you directly to confirm your subscription.
 

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For more information call us at 203.966.8081
or email ClubMax™ Coaching now at
davejohnson@clubmaxcoaching.com

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