Coaching Registration

Payment is accepted through check, cash, or chase quick pay.

Student Name(s) (required)

Student Age(s) (required)


Contact Email (required)

Parent or Guardian Name (if applicable)

Parent Cell Phone Number (if applicable)

Parent Home Phone Number (if applicable)

Parent Work Phone Number (if applicable)

Parent Address (if applicable)

School Your Child(s) Attends (if applicable)

How will your child be transported to SD Studios? (if applicable)


Emergency Contact:(required)

Emergency Contact Cell:(required)

Emergency Contact Home:

Emergency Contact Work:

Does the student have any allergies or medical issues

Anything else we should know about, i.e. fears, dislikes, interests, special needs etc?

Please let us know how you found out about SD Studios

Preferred date and time for the coaching sessions

Signature (required)