Request edit access
In Person Intake Form
This is just an initial assessment of your needs so that we know where to start during your session. Jaden will follow up via your preferred contact method to finish scheduling your session. ANSWER EACH QUESTION AS THOROUGHLY AS POSSIBLE. If you are worried that you are providing too much detail, YOU ARE NOT.
Sign in to Google to save your progress. Learn more
Name: *
Phone number: *
Email: *
Best way to reach you:
Clear selection
Age: How old are you?
Training Age: How many years have you been strength training? (Please elaborate with any details you have about this training.)
What are your current athletic goals? (What are you training for?) *
What is your current game/practice/training schedule? (How many days/week do you have something physically demanding that is mandatory for your sport or life and what else are you doing on top of that) *
Current athletic weaknesses: (What do you really need to get better at? AND What do you really hate doing athletically?) *
Current athletic strengths: (What are you really good at? AND What do you love to do athletically?) *
How many times/week do you want to train? *
Current athletic maxes:
(If you know your back squat max, hang clean max, 40 yard dash, best mile time, how long you can hold your breath or ANYTHING applicable that we can have a baseline for put it here)
*
Significant injury history:
Are you signing up for a private or semi-private session?
(All athletes in session must fill out their own form.)
*
Names of other athletes in semi-private session (only if applicable):
Anything else I should know?
By signing up, you agree to our Terms of Service, which include important details about our services and your rights. Please review them here.
*
Required

By signing up, you acknowledge that you have read and agree to our Waiver of Liability. Please review the document before completing your registration.

Please type your full name and today's date below to serve as your electronic signature:

*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wheaton College.

Does this form look suspicious? Report