Program Development Interest Form

Coach or Program Director Information

Parents or coaches who are interested in working with Trilogy Lacrosse are encouraged to provide contact information below for the people or person who will ultimately be responsible for decisions about needs, timing & budget.

First Name *

Last Name *

Email *

Phone Number (Cell Preferred) *

Program Information

Program Name *

City *

ST (ex. CA, MA, NY) *

Which Teams? *

Boys Teams Girls Teams Both

What Services Are you Interested in? (Check All that Apply)

Player Training (Clinics) Coaching Seminar Online Curriculum Portal

Has Your Program Paid for Professional Coaching or Training in the Past? *

Yes No

Timing (check all that apply)

Pre-season (Indoor): December - February In-Season (Outdoor): March - May

Additional Comments or Notes