Your Last Name *


Your First Name *


Invoice number from video purchase or client number from previous session (paste number here)?


City, State/Region, Country (needed for determining time zone) *


Your Email: *


Subject: *
Initial Consultation select one

Skype address (preferred method of consultation, leave blank if you prefer a phone session)


Phone number (needed to conduct session or in case Skype connection is poor or lost) *


Is this a free session as a result of purchasing videos through this site? If so, please attach a copy of your reciept here:


Where you heard about consulting opportunities offered by SPc *
Mentioned on the videos and in the associated materials Referred by a former athlete or client of Barry My coach referred me Referred by Championship Productions Web Search Other

Person seeking consulting session *
select one Athlete Sport Coach Parent Personal trainer Physical education instructor Strength coach Intern strength coach

Athlete's age (if this is a coach please list average age of those you train)


Athlete's primary sport (specify season, club or varsity)


Athlete's secondary and tertiary sports


I currently own videos from the following series *
None - I don't own any videos produced in conjunction with SPc (skip the next question) I own one or more videos associated with Sport Performance Preparation Series I own one or both Field Hockey videos

I own the following videos (abreviate or list as volume numbers):


Injuries or medical concerns worth noting (specify history or currently recovering)


What I hope to achieve through a consulting session *