Athlete intake form

Athlete Information

The first step to unleashing your full potential!
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
E-mail*
Gender

MaleFemale
Height
Inches
Weight
Pounds
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Any dietary restrictions? (Only if interested in nutrition coaching)
How may I contact you?*

CallTextEmail
What sport(s) do you play, if any?
As a trainer, I want to help reduce the likelihood of injury as much as I can and will train you in the safest way possible. However, just as in sports, injury is a risk of performance and/or personal training. Please check the box that you understand the risks associated with training.

I have read and accept that injury is a risk with training and will not hold Athlete Plus Performance responsible if injury does occur
Please print, fill out and bring the following forms with you to our first session or email them to Thiago@athleteplusperformance.com
I will fill out and email or print and bring the PARQ with me for my first session

DoneFilled out and emailed
I will fill out and email or print and bring the Lifestyle Questionnaire with me for my first session

DoneFilled out and emailed
I will sign the APP Agreement and email or print and bring it with me for my first session

DoneSigned and emailed
Should be Empty:

Athlete Information