Group Training

Group training request form

Fill out this form if you are interested in a Rebel 76 Soccer trainer running supplemental training programs for your specific group!

* Indicates required field

Parent Name *

First

Last

Group Name *

Parent Email *

Sex *

Group's Primary Grade *

Day Preferred *

Length of Session *

1 Hour 1.5 Hours

Time Preferred (AM and Midday only available on Sat and Sun; all weekdays have to be 3:00-9:00 PM start times) *

Early AM (8:00-10:00 AM) Late AM (10:00-noon) Midday (noon-3:00 PM) Afternoon (3:00-9:00 PM)

Group Description (e.g. level, what league, needs, etc) *

Are there any concerns or special needs that R76 should be made aware of? *

Submit