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✅Please complete this short form to see what coaching options you qualify for (Any issues please contact josh@thekickingconsultant.com)

First name*

Last name*

What are you interested in improving? (Tick all that apply)*

🏈 Punting Technique

🏉AFL Kicking Technique

💪 Strength & Power 🦵

⚡Speed, Acceleration & Agility

🏃‍♂️Aerobic & Anaerobic Fitness

🧠 Confidence & Game Smarts

🍏 Body Composition (lose weight/gain muscle)

What is your best email?*

What is your best contact number?*

Enter your age*

Where are you from? Be specific so you can see whether in-person coaching is available*

Which best describes you?*

Player

Coach

Parent

Other

What goals would you like to achieve with your sport and why?*

What have you tried in the past to help reach your goals?*

Anything else you'd like to mention?

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Melbourne, Australia. josh@thekickingconsultant.com

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