Coach Derek, Inc. Online Forms

Online forms and PDF downloads:

Waiver of Liability (PDF)

Birthday Parties, Special Events, Private & Semi-Private Lessons Registration Form

Class Request Form

Trial Class Form

PVES Parent Permission Slip (PDF)

CDI Discipline Referral Card (PDF)

We at CDI and CDI After School want every child to be able to participate in our open classes and after school program but we understand that financial hardships are a reality. We offer scholarships and financial assistance based on the availability of funds and the needs of our clients. There are fundraising and volunteer opportunities for parents to help offset costs as well. If you are in need of financial assistance, please click on this link, CDI Financial Aid Form PDF, to fill out our confidential application.

Print out the completed form and email it to

Concussion Information (PDF)

Employment Application

Coach Derek Inc Internal Forms