Athlete Intake Form

Thank you for taking the time to complete this form. This information helps us understand your athlete’s background, goals, training experience, and any important health considerations before their first consultation. Please answer each question as completely as you feel comfortable.

For athletes under 18, this form should be completed with a parent or legal guardian.

Athlete Information

Athlete name

Date of birth

Month

Day

Year

Parent/Guardian Information

Parent/Guardian name

Required for athletes under the ago of 18

Phone

Emergency Contact Information

Emergency contact name

Relationship

Phone

Cheer Background

Current cheer gym/Program

Current level/Team

How many years has the athlete participated in cheer?

How many days per week does the athlete currently practice cheer?

Approximately how many hours per week?

Are there any upcoming competitions, tryouts, or important events we should know about?

Goals

What is the #1 thing you would like training to help your athlete improve?

Is there a specific goal, skill, competition, or deadline they are working toward?

Current Training

Besides cheer, does the athlete participate in any other sports or physical activities?

Yes

No

If yes, please list:

Health & Injury Information

This section helps us make training appropriate for the athlete.

Does the athlete currently have any injuries, pain, or physical limitations?

Yes

No

If yes, please briefly explain:

Has the athlete had any significant injuries, surgeries, or concussions in the past?

Yes

No

Training Availability

How many sessions per week are you interested in?

1

2

3+

Not sure yet

Preferred training times:

Morning

Afternoon

Evening

Athlete Perspective

I want to hear from the athlete, too!

If you could fast-forward six months from now, what would you hope has changed or improved in your performance, confidence, strength, or skills?

What do you want your coach to hold you accountable for?

Is there anything you're nervous or unsure about when it comes to strength & conditioning?

Acknowledgment

Add your textI confirm that the information provided is accurate to the best of my knowledge. I understand that this form is used to help guide the initial consultation and training process. I understand that I should communicate any changes in the athlete's health, injuries, medications, or ability to participate in physical activity.

Parent/Guardian signature:

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Date

Month

Day

Year