ASC Fall High School Performance Training 2019

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Andrews Sport Conditioning Questionnaire/Waiver

Athlete name *

Parent(s) names *

Athlete date of birth *

YYYY

Athlete and/or parent email *

Emergency contact phone number *

Do you have any medical conditions or allergies? *

Yes

Required

If you answered "yes" please describe below

Please give a brief history of any injuries sustained in the last year *

Do you have any other issues that may influence your training? (ie: back pain, lingering injuries, mobility issue)

What sport(s) do you play *

What is your strongest athletic ability (ie: strength, speed, power, agility, endurance, etc.)

What athletic ability do you feel needs most improvement (ie: strength, speed, power, agility, endurance, etc.)

What are your short term athletic goals? Can be broad or specific (ie: make a team, score "x" amount of goals/touchdowns, become a starter, etc.)

What are your long term athletic goals? (ie: play university/college/Junior, play as long as you can, etc.)

What are some goals you wish to complete during your training at ASC?

Have you trained at ASC before? *

Yes

Have you worked with a trainer before?

Yes

Clear selection

If you answered "Yes", what did you like about working with the trainer? What did you dislike?

How many hours of sleep do you get each night? (Include weekends if more or less) include times you sleep from (ie: 11pm-7am)

On average, how well would you rate your diet for your own athletic goals (1 being needs improvement, 5 being perfect)

Clear selection

List below any expectations you have for ASC or any questions or concerns

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy