Coaching Application Form
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indicates required fields
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When would you like to begin the program?:
Immediately
Soon (2-4 months)
Later (more than 6 months)
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Is your goal/s competitive in nature?:
Yes
No
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What style of competition do you shoot?:
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What is your goal (be specific)?:
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What is your level of desire to reach the goal?:
1
2
3
4
5
6
7
8
9
10
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Rate your work ethic::
1
2
3
4
5
6
7
8
9
10
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Describe your current skill level (details)::
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How long have you been training?:
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What would reaching your goal mean to you?:
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Are you local to Tulsa, Oklahoma?:
Yes
No
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How much time will you dedicate to the program?:
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Name:
*
Email:
Phone Number:
USPSA or IDPA number:
Classification (IDPA, USPSA, NRA, Other):
How would you like to be contacted?:
Phone
Email
U.S. Mail
Mailing Address:
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