Off-Ice Training Intake Form

This form is used to gather relevant information before you come in to train with us. Take the time to provide us with as much information and detail as possible.

Parent/guardian first name

Parent/guardian last name

Player/athlete name (first, last)

Player D.O.B.

Month

Day

Year

Sport

Current team

What level do they currently play at? (AAA, Tier 2, Varsity, etc)

List any past and current injuries, physical limitations, medical conditions, or anything of that nature that we should know about before we begin training.

Are you currently training? If yes, briefly explain what you are doing on a weekly basis.

Have you ever had a personal trainer before?

Yes

If you answered YES to the previous question, what was your experience like?

Short-term goals. List 1–3 goals you would like to achieve in the next 2–3 months?

Long-term goals. List 1–3 goals you would like to achieve in the next 1–2 years?

What is your own (as the parent/guardian) assessment of your son/daughter's current athletic abilities?

What is the main reason you are looking for training right now?

Is there anything else we need to know?

Off-Ice Training Intake Form

BECOME A MEMBER