AEP Selects Athlete Information and Profile
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Athlete Information
Name *
Date of Birth *
MM
/
DD
/
YYYY
Address *
City *
Province *
Postal Code *
Phone *
Email *
Training Block(s)
AEP Selects athletes can train in multiple blocks at no additional cost. Athletes will select training days at a later time through the TeamSnap app.
*
Required
Workout Gear
Shirt Size *
Short Size *
Parent/Guardian Information (Primary Contact)
Name *
Phone *
Email *
Parent/Guardian (Secondary Contact - Optional)
Name
Phone
Email
Athlete Profile
Select all Sports You Play *
Required
Experience *
School Attending in 2019/2020
Current Team/Club *
Position/Event *
List and describe any recent athletic/scholastic achievements (stats, awards, personal bests, etc) *
Training Experience *
Why do you participate in sport? *
What do you enjoy most about sport? *
What areas of training do you need to improve? *
 Why should you be accepted to continue and be a part of the Athlete Enhancement Program? *
How has the Athlete Enhancement Program helped you as an athlete? (Make a higher-level team, make Team Alberta/Team Canada, improve your statistics or playing time, achieve a personal best) *
What did you learn from your first year of the Athlete Enhancement Program? *
What do you want to achieve in sport? *
What do you want to achieve from participating in your sport? *
What are your dream goals in sport? *
Medical History
Is the athlete suffering from an injury at this time? *
If yes, please describe the injury and any treatment that may affect training
Does the athlete have any physical limitations, disabilities, ailments, or impairments? *
Has the athlete ever been dizzy or passed out during or after exercise? *
Has the athlete ever been unconscious or had a concussion? *
If you answered yes, please explain (number of concussions, severity, etc.)
Do you have any allergies? (bee sting, peanuts, hay fever, etc.) *
Have you ever had a heart murmur, high blood pressure or heart condition? *
If yes, does the athlete have medical clearance? *
Does the athlete have asthma? *
If yes, is there need for an inhaler to have during exercise? *
Have you taken any performance-enhancing substances, over the counter medications, supplements or herbal supplements? *
If yes, please list:
Do you have any other chronic health problems we should know about? (Diabetes, epilepsy prosthetic limb) *
If yes, please explain.
Do you currently have (or have had in the past 12 months) a bone, joint or soft tissue problem that has limited training? *
If yes, please describe limitations that may affect training
Medical Information
*
Termination of Support or Services
*
Release of Liability, Waiver of Claims and Confidentiality, Assumption of Risk and Indemnity
*
Additional Comments
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