Coaching Intake Form

Coaching Intake Form

Hall Strength Systems
Personal Information
Name

First NameLast Name
Age
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Job Position
Are you a student?
How Would You Descripe Your Work/Life Stress
Emergency Contact Person

First NameLast Name
Emergency Contact Person Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Competition Information
Weight (kg)
Height (Example 5'6)
How committed to powerlifting would you say you are?
Desired Weight Class (kg)
Federation you compete or plan to compete in

Coaching Information
Preferred Coach
If preferred coach has no available spots are you willing to work with another coach?
Do you require meet day handling?
How would you describe your meet day needs? (Example. Calm energy and reassurance)
How did you find out about coaching with HSS

Acknowledgment
I herby Acknowledge that the information here is accurate and a coach from Hall Strength Systems has permission to reach out to me about starting coaching and cost.
Signature
Date Signed

MonthDayYear
Date
Type a question
Should be Empty: