First Name *

Last Name *

Athlete's Email *

Athlete's Phone *

Athlete's Height *

Athlete's Weight *

BMI (Body Mass Index) *

Under 18.5
18.5-24.9
25-29.9
30 and above
I don't know
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Date of Birth *

What Sport Do You Play? *

Athletic Trainer's Full Name *

Athletic Trainer's Email

Athletic Trainer's Phone

What School/Program Are You Associated With? *

Individual
SFA
Tarleton State Student Athlete
Taylor Hooton Foundation
UTA Student Athlete
UTD Student Athlete
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