Please enable JavaScript in your browser to complete this form.Parent Name *FirstLastEmail *Phone NumberAthlete Name *FirstLastAthlete Age *Athlete GenderMaleFemaleType of Lesson(s) *Single Class, One LessonSingle Class Six LessonsSmall Group One LessonsSmall Group six LessonsRequested Lesson Time (Day of Week, Time). Please request Two *PhoneSubmit Soccer Lessons with Eddy Fernandes Eddy FernandesWest Des Moines and Menace Soccer playerRoosevelt High School playerAltoona Soccer Club head coach U-9-10s Menace Soccer Academy Head Coach U-12s SINGLE CLASS ONE LESSON $60 SMALL GROUP ONE LESSON $30 SINGLE CLASS SIX LESSONS $300 ($50/Lesson) SMALL GROUP SIX LESSONS $150 ($25/Lesson)