Request edit access
Athlete Consent Form 
Please fill out all questions on the form. 
Sign in to Google to save your progress. Learn more
Name
Age 
Email 
Phone number 
Emergency Contact 
Parental consent (if under 18)
Clear selection
Are you fit and healthy to take part in 1-2-1/ Group training sessions ?
Clear selection
Do you have any health conditions, if yes please state below. 
Have you had any recent injuries I need to be aware of? If yes please state below. 
Have you had any injuries where surgery was needed and currently still effects you, if yes please state below. 
Rate your level of commitment 1-10 
Are you ready to work towards your maximal potential? 
Clear selection
Rate your level of mental toughness 1-10
Rate your level of athletic performance 1-10
(1 being beginner & 10 being pro)
Rate your level of belief you have as an athlete 1-10
(1 little belief in yourself, 5 I need to work on it, 10 having a strong belief system)
What is your current sport & background?
What are some off your performance goals, list 3... e.g. I want to become more explosive in my jumping, I want to increase my sprint speed, I want to become more agile. 
What is your end goal as an athlete?
End of the questionnaire, I look forward to seeing you and helping you take action towards building your performance as an athlete in your sport. I will put all my effort into you as a coach and I need you to do the same for me. Trust and adherence is what I need from you, please sign your full name below as a sign of commitment. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms