Student Application

* CueSport Billiard Academy is located in Illinois. All of our students travel here to our facility for training. Submitting this form does not commit you to any enrollment in our courses.
All applications will be reviewed by our board, after which we will follow-up with you to discuss the application and possible acceptance for any available courses we may have open.
At this time, we will also inform you as to which discounts, if any that you have qualified for and answer any additional questions you may have. Thank you

Full Name

Date of Birth




Phone Number

E-Mail Address

Preferred Method of Contact

Estimated Skill Ability

Preferred Class Size

Length of Training

Approximate Training Course Date (if available)

Have you taken any lessons with us before

What is your occupation?

Were you ever in the military?


How did you hear about us? (Internet, Facebook, previous student or friend referral)

How long have you been playing pool?

How many hours per week do you practice?

Leagues or tournaments you play in and your handicap/skill level in each...

Past instructors or influences on your pool game?

My own favorite memories or achievements in pool are...

What do you feel your strengths and weaknesses are in your game?

Pool things I study or practice are... (favorite players, drills, books or videos)

What are your short and long term goals for your game?

In as much detail as possible, please explain your motivation for seeking out professional instruction and what you look to gain from it...

What is the best time for us to contact you to follow-up with your application between 10am-8pm CST?

What is the preferred phone number and/or e-mail address for us to contact you?

Coupon Code:

If you have an online video that shows you playing, please leave the link here...

If accepted for enrollment, please choose the charity foundation you would like a portion of your course tuition to go towards supporting...