Football Inductions Form PLease fill in the form below prior to attending your first session. Full Name Age Date of Birth Height (cm): Weight (kg): Address Postcode Tel No. Mobile No. Email Which football team do you play for? What position do you play? Emergency Contact Name Emergency Contact Tel No. Activity levels Select Option Sedentary (little to no exercise - desk job) Lightly active (light exercise 1-3 x per week) Moderately active (3-5 days per week) Very active (hard 6-7 days per week) Extremely active (very hard 6-7 days per week/play a sport/physical job) Please give a brief description on why you have contacted fitness beyond. Goals: Q1. What are your goals for this year [please provide as much info as possible? Goals: Q2. What are the areas you would like to work on that you feel can help improve your football? Goals: Q3. Have you any specific dates/events this year that you would like to target? Goals: Q4. What days do you currently have football training and other days you have commitments through the week? Goals: Q5. Have you had any major health issues or injuries over the past few years that may affect your ability to exercise? Nutrition Information: Which supermarket do you purchase your weekly shopping? Average Daily Calories What do you eat for breakfast? What do you eat as a morning snack? What do you eat for lunch? What do you eat as an afternoon snack? What do you eat for dinner? Do you take Supplements? Would you give consent for us to post videos on our social media which may include your child? Yes Availability: What times of the day do you prefer to workout? Morning (6am - 10am) Afternoon (10am - 4pm) Evening (4pm - 7pm) SIGN-UP
