First Name*

Last Name*

Birthdate*

Please check:
FemaleMalePrefers not to say

Have you participated in performance training?*
YesNo

What is your primary sport?*

Softball Baseball Hockey Wrestling Volleyball Football Basketball Lacrosse Soccer Swimming Track & Field/Cross Country Golf Dance Cheerleading Rugby Skiing Gymnastics Tennis Other

If other, please list:

How many times do you practice per week?*

School or Club Organization*

Can we contact your coach to discuss training?*

Yes No

If yes, please provide coach contact information:

What is the duration of your off-season? (Months)*

0-1 2-3 4-5 6-7 8+

Have you been injured in the last year?*

Yes No

If yes, please provide date and type of injury:

Have you ever had an injury that required surgery?*

Yes No

If yes, please provide date and type of surgery:

Who was or currently is your Orthopedic Surgeon?*

Any previous nutrition related issues?*

Yes No

If yes, please explain:

Follow a special diet or have any food allergies?*

Yes No

How did you hear about the Training HAUS?*

Online/Website Social Media Event Medical Provider Club/Coach/School Current HAUS Athlete HAUS or TCO Employee Advertising Other

If referred by an employee, please provide name:

If Advertising and/or Other, please describe:

What size Nike dry fit shirt do you wear?*

XS S M L XL XXL

What size of Nike shorts do you wear?*

XS S M L XL XXL

I am age 18 or the parent/guardian of the athlete:*

Yes No

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