OFH-KIDS Coaching Questionnaire

Please fill out the following form to help us understand your Childs physical condition and goals.

Kids First Name

Kids Last Name

Email Address

Mobile Number

Kids Hight (cm)

Date of Birth

Kids Age

Kids Weight (kg)

Dose your child have any current (or history of) medical conditions, injuries, food allergies or other physical conditions? If yes please provide details.

Is your child currently taking medication? If yes please give detail.

What would be the perfect outcome of your child training with us?

Parent's consent for participant to train if participant is under 16 years old:

Parents First Name

Parents Email Address

Parents Initials

Parents Last Name

Parents Mobile Number

Today's Date

I declare that the info I’ve provided is accurate & complete

I agree with the terms and privacy policy View terms of use

By filling in and submitting this form, I acknowledge th at I have voluntarily chosen for my child to participate in a program of progressive physical exercise. In completing this form, I acknowledge being informed of the nature of the program and the potential for unusual but possible phyiological results including, but not limited to, abnormal blood pressure, fainting, heart attack, or death. By completing this form, I assume all risks for my childs healthand well-being and hold harmless of any resposibility the instructor, facility, or persons involved with this program and testing procedures.

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

OFH-KIDS Coaching Questionnaire

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