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DPT Athlete Intake
We'll cover the basics, health & injury history/concerns, getting to know your athlete, and a few other things. This form is required to be completed prior to beginning training with DPT.
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Email
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Your email
Email
*
Your answer
Phone number
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Your answer
Athlete's name (who will be receiving training. If you are signing up multiple athletes, please fill this form out for ALL athletes individually).
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Your answer
Please provide names/contact information for any/all emergency contacts.
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Your answer
Athlete's Birthday
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MM
/
DD
/
YYYY
Grade and School
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Your answer
Gender
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Male
Female
How did you find out about DPT?
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Your answer
What are your main goals with performance training? (i.e., increased speed, muscle gain, weight loss, etc.) Please be specific.
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Your answer
Is your athlete receiving additional training anywhere else?
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Yes
No
Other:
If you answered yes to the previous question, please share where they are receiving training.
Your answer
Is your athlete interested in sport specific training? If so, please note what sport(s) your athlete is interesting in/plays.
Your answer
Is your athlete looking for position related training? If so, please provide a list of positions they are interested in.
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Your answer
Is your athlete a member of any teams? If so, please list them (include school/prospective school teams, AAU, travel ball, competitive, recreational, etc.) This helps us understand how to gauge their workouts based on their schedule and abilities.
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Your answer
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