FWCC Trial Booking

Athlete Profile

Tell us more about your kid
Name (as in NRIC)*
Gender*

MaleFemale
Date of Birth*

DayMonthYear
Weight (kg)
Height (cm)
Current School
Current Academic Level
Current School CCA/Activites, and Out of School CCA/Activities
This is so we have a slight background of the athlete

	Yes	No
1. Asthma
2. Skin Complaints
3. Allergies
4. Epilepsy
5. Back Problems
6. Migraines
7. Phobias
8. Does your child have any specific requirements? (eg. sight, hearing, dietary, or others)
9. Has your child had any major illnesses/conditions or operations in the last 3 years?
10. Does your child have any heart condition such that he/she should only partake in certain activities recommended by a doctor?
11. Is your child on any form of medication?
12. In the past 3 months, did your child experience chest pain/tightness in the chest when partaking in physical activity?
13. Has your child ever had any unusual or extreme shortness of breath, even when they are not performing any physical activity?
14. Has your child ever lost consciousness or balance due to dizziness after a strenuous activity?
15. Does your child have a bone or joint condition that can be made worse by engaging in physical activity?

Trial Booking