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Remote Training Athlete Form

Let's start with the basics.

What is your first and last name?

What is your email?

(Leave blank if you do not have an email)

What is your cellphone number?

What sport/sports do you play?

Height and Weight?

What is your current year of HS?

What is your current year of HS?
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D
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F

What is your HS grad year?

What position do you play?

Let's dive deeper.

What are your goals? Check all that apply

What are your goals? Check all that apply
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Outline the experience you have with strength and conditioning training

What is your level of exposure as far as months/years of training? What have you worked on in the past? Who have you worked with? What have you liked doing? What have you disliked doing?

Outside of your sport, what kind of structured exercise/training/physical activity do you currently do … and how often?

What does your skill training for your sport currently look like ?

What are you doing and how often? Ex. Team practices and lessons

What type of facility and equipment do you have access to?

Outline the type of space you can train with and the equipment you can use. Send Mic a video if it’s easier as well. Ex. Full gym with racks, barbells, dumbbells, machines, training facility with turf space and ____ equipment, etc.

Do you have access to a field for speed and conditioning training?

What type of training do you want included in your program?

What type of training do you want included in your program?

How often can you realistically commit to training in your upcoming 6 week program?

How often can you realistically commit to training in your upcoming 6 week program?
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D

What's your health like?

Have you been diagnosed (currently or in the past) with any significant medical condition(s) and/or injuries?

What, if any, significant medical condition(s) and/or injuries have you been diagnosed with (currently or in the past)?

What, if any, specific health concerns, such as illnesses, pain, and/or injuries do you have?

Disclaimer

It is your responsibility to work directly with your health care provider before, during, and after seeking personal training. Any information provided by MICABBS FITNESS is not to be followed without prior approval from your doctor. If you choose to move forward with the information provided without your doctor's approval, you agree to accept full responsibility for your decision.
By clicking the yes button below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge.
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Last thing!

When and How did you first come across Mic’s content and services?

Why do you want to to train with Mic? How do you think Mic can help you achieve your goals?

Anything else you have questions on or want addressed in your program?

LET’S GET AFTER IT!