Coaching Application

* Name

* Email

* Phone

* Age

* Date of Birth (mm/dd/yyyy)

* Years of Training Experience

* Height (inches)

* Weight (lbs)

Sport/Event

* What are your three main fitness goals?

* How many days per week will you commit to your new program?

Do you have any significant past or current injuries? If Yes, please describe

* Do you belong to a gym? If not where will you be training?

Describe athletic background, if applicable:

* Describe the type of training you have been performing for the past year: (I.e., days per week, length of sessions, types of equipment, exercises, sets & reps, etc.)

* Do you have any other limitations, restrictions, or other important information not described above (Describe)?

* You may use this space for any remaining questions, comments, or suggestions

* Verify Verify

Script by Dagon Design

By filling out the above form you agree to the following:
• explicitly represent that you are in good health and are capable of full participation in rigorous physical activity;
• agree to assume all risk of personal injury (including death) occurring or sustained by you while traveling to, attending or participating in the study, participation or practice; and
• acting for yourself, your heirs, personal representatives, and assigns, release Fit 2 Play, any of its staff, trainers, physicians or any other person associated with Fit 2 Play from loss or liability whatsoever for any accident or injury, fatal or otherwise, which may result directly or indirectly form you involvement with the Fit 2 Play program.
It is always suggested to check with your physician before starting an exercise program

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