ASC Fall High School Performance Training 2019
Andrews Sport Conditioning Questionnaire/Waiver
Athlete name *
Parent(s) names *
Athlete date of birth *
Athlete and/or parent email *
Emergency contact phone number *
Do you have any medical conditions or allergies? *
If you answered "yes" please describe below
Please give a brief history of any injuries sustained in the last year *
Do you have any other issues that may influence your training? (ie: back pain, lingering injuries, mobility issue)
What sport(s) do you play *
What is your strongest athletic ability (ie: strength, speed, power, agility, endurance, etc.)
What athletic ability do you feel needs most improvement (ie: strength, speed, power, agility, endurance, etc.)
What are your short term athletic goals? Can be broad or specific (ie: make a team, score "x" amount of goals/touchdowns, become a starter, etc.)
What are your long term athletic goals? (ie: play university/college/Junior, play as long as you can, etc.)
What are some goals you wish to complete during your training at ASC?
Have you trained at ASC before? *
Have you worked with a trainer before?
Clear selection
If you answered "Yes", what did you like about working with the trainer? What did you dislike?
How many hours of sleep do you get each night? (Include weekends if more or less) include times you sleep from (ie: 11pm-7am)
On average, how well would you rate your diet for your own athletic goals (1 being needs improvement, 5 being perfect)
Clear selection
List below any expectations you have for ASC or any questions or concerns
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