Basic Athlete Information

Photo Image of Athlete

First Name

Last Name

Date of birth

Sex *

Height *

Parent's First & Last Name *

Weight *

High School Athlete attends *

Phone *

Email *

Sport/s athlete participates in

Events Athlete Competes in (Individual Sport)/ Position Played (Team Sport) *

Years of Experience of Sports *

Athletic Accomplishments *

Academic Accomplishments *

Health & Medical Information

Any Allergies? *

Last Doctor Checkup *

Serious injuries: Broken, Fractured Bones, torn ligaments, etc *

ExperiencedHead, Spine or Neck Trauma (Concussion) *

Heart or Lung Issues *

Any other health concerns that needs to be known

Personal Interests & Life Goals

If granted a superpower what would it be? *

Favorite Sport *

Favorite Food *

Favorite Sports Team/s *

Current GPA

Academic Strengths *

Who are your Role Models?

What is your dream job? *

Academic Weaknesses *

Athletic Strengths *

Athletic Weaknesses *

Dream College or School *

What is your ultimate athletic goal this season or next? *

Are you interested in 1 on 1 training? *

Yes

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