Membership Application & Assessment Inquiry 
*Please fill out the following form to help us understand your needs and how we can best support the athletic development of your child.*
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Email *
Jasper Bibbs - Owner & Founder Sports Fit Health & Performance Institute
Parent/Guardian Full Name: *
Email Address: *
Phone Number: *
Relationship to Athlete:
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**Athlete Information**
Athlete's Full Name: *
Athlete's Email Address: *
Date of Birth: *
Gender: *
School Name: *
Grad Year: (ie. Class of 2027)
Primary Sport(s) Participated In: *
Years of Experience in Each Sport: *
Current Team/Club (If Applicable) *
**Training Goals and Preferences**
What are the primary goals for the athlete? ie., Improve Strength, Increase Speed, Enhance Technique  *
What specific areas does the athlete want to improve or focus on? (Please provide details) *
Is the athlete receiving any other training or coaching? If so, please describe:  *
Preferred Training Frequency: *
**Health and Safety Information**
Does the athlete have any preexisting medical conditions or injuries that we should be aware of? If yes, please provide details:
Is the athlete currently taking any medications? If yes, please list:
Emergency Contact Name: *
Emergency Contact Phone Number: *
How did you hear about our sports performance training program? *
**Additional Information**
Do you have any other questions or comments?
**Consent and Agreement**
I consent to my child participating in sports performance training and understand the potential risks associated with physical activity: *
I agree to the terms and conditions of the sports performance training program:

 *
Purchase $75 Initial Assessment CLICK HERE
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