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Evaluation Intake Form
Athlete First name
Athlete Last name
Birthday
Month
Day
Year
Email
Phone
Primary Sport
Current School/Club
Position Played & Years Played
Current Season Status
Training Goals
Speed
Strength
Agility
Vertical Jump
Injury Prevention
How many days per week is the athlete currently training or practicing?
Has the athlete had any previous injuries?
Yes
No
If yes, please explain: body area injured, approximate date of injury and recovery status.
Has the athlete previously trained with a strength coach or private trainer?
Yes
No
How many days per week is the athlete currently training or practicing?
Submit
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