SPEEDZONE Sports Performance

ATHLETE PROFILE FORM

The Fitness Edge Inc. begins all personal training, as well as any fitness program, with a session that includes completing a medical history and health questionnaire. This helps us to develop a training program appropriate for your fitness level. Once you have set up an appointment with us, please download and print our confidential Medical History form. You will need to bring it to our first session so we can appropriately assess your level and abilities.

In the meantime, please complete our Athletic Profile form below. Or click here to download the Athlete Profile Form to bring to your first appointment.

Personal Information

First Name
Last Name
Email Address
Phone Number (Home)
Phone Number (Cell)
Gender
Date of Birth	(DD/MM/YYYY)
Age
Street Address
Street Address 2
City
State
Zip Code
Height	Feet Inches
Weight	Pounds
Average Hours of Sleep	Hours
Preferred Contact Method

Emergency Contact (Parental Information if Athlete is a Minor)

First Name
Last Name
Relationship
Phone Number

Which Training Program are you Interested In?

	Triathlon
	Running Only
	Cycling Only
	Swimming Only

	Triathlon & Strength Conditioning
	Biathlon
Other

Other Training Coaches

First Name
Last Name
Phone Number
City
State

Training Information (Past and Present)

What sports do you participate in and how long have you been involved in each?
How much time per week do you currently train or devote to exercise?
What does your current training schedule consist of?
Do you have an ultimate athletic goal?
What is the best time for you to train with your coach?
Please list any supplements you currently take (if any).
Please list any past or current injuries.

The Fitness Edge advises all clients to consult their personal physician before beginning any exercise or endurance type-training program.