The Sport Performance Institute

Are you ready to train at SPi? Complete the following form and submit for a FREE 90 minute Intro Session. Each session includes performance training, hands on instruction, and individual assessment.

Name:

Gender:

Male

Female

Birth date:

Height:

Weight:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email:

Father's Name:

Email:

Mother's Name:

Email:

School:

Grade:

HS Grad Year:

Sports:

Positions

Club/Organization:

Coach Name(s):

Coach Phone:

Referred By:

I will come to SPi for an intro session on:^*

1) Day of Week	2) Time	3) Date

What are your training objectives?

What type of training have your done over the past 12 weeks?

What is your schedule for the next 12 weeks?
(games, showcases, practice, open gyms, team training)

Do you have any injuries (past or currently) that we need to consider?

How many days per week do you eat breakfast? Give examples.

Do you pack or buy your lunch daily?

Complete the following form for more information regarding SPi Team Services. A SPi Performance Specialist will be in contact with your customized training proposal and plan.

Name:

School/Organization:

Title:

Sport:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email:

Additional Coach:

Position:

Phone:

Email:

Additional Coach:

Position:

Phone:

Email:

Referred By:

I would like further information on the following SPi services.
Check all that apply:

	Team Training Sessions		Custom Team Training Plan
	Coach Training Sessions		Coach Consulting
	Clinics (Speed, Performance, etc.)		Nutrition education
	Coaches seminars

What are your team training objectives? Performance needs?

Describe current off-season program.

What does your pre-season plan involve?
(12 weeks prior to first game)

What type of injuries has your team incurred over the past three years?

What type of training equipment / facilities does your program
have access in which to train?

Please provide any additional information relating to the performance
and development of your athletes.
(parents, competitors, schedule, etc.)