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ATHLETE LAB INFORMATION FORM
Please complete all fields - Confidential Information
Athlete´s full name
Enter the athlete’s first and last name
Birth Date
mm.dd.year
Age
e.g.12
Grade
e,g. 7H grade
School name
Full name
Position (s)
None
Point Guard (PG)
Shooting Guard (SG)
Small Forward (SF)
Power Forward (PF)
Center (C)
Parent / Guardian
Parent / Guardian Full Name
Phone Number
A 10-digit number
Email
[email protected]
Current Team or Academy
Team or academy name
Previous team / academies
Separate with commas if more than one
How long has the athlete been playing basketball?
e.g. 3 years, since ago 8
Athlete's Sports Goals
What are the athelete´s goals? College, improve skills, have fun…
Does the athlete have any medical condition?
Yes
No
Does the athlete have asthma?
Yes
No
Does the athlete have any allergies?
Yes
No
If yes, please explain condition / allergy
Describe the medical condition, allergy, or diagnosis
Is the athlete currently taking any medication?
Medication name or N/A
Has the athlete had any previous injuries?
Describe previous injuries or write NONE.
Any physical limitations we should know about?
Describe previous injuries or write NONE.
Emergency Contact
Full name
Relationship to Athlete
e.g. mother, grandfather, uncle
Phone Number
A 10-digit number
Any additional information you would like to share with the coach?
Share your goals, injuries, experience, or anything you'd like your coach to know
Parent / Guardian confirmation
Full name
Date
mm.dd.year
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