Athlete’s Coach Intake Form

[bs_lead]Please complete the Coach Intake form provided below.[/bs_lead]

Athlete's Coach Intake Form

Name *

Primary Phone *

Primary Email *

Do you have a criminal background? *

No

Yes

What is your highest certification in coaching?

Number of years coaching in respective sport?

Number of years coaching athlete? *

What do you know about the Canadian Sport Centre Manitoba? *

Athlete Name *

Athletes Sport *

What do you believe are your athletes strengths? *

What do you believe are your athletes weakness? *

What potential do you see in your athletes development pathway? *

How do you think we could positively impact your athlete? *

Any positive experiences working with other services providers? *

No

Yes

Tell us about your positive experience? *

Any negative experiences working with service providers? *

No

Yes

Tell us about your negative experience? *

What do you need from the Canadian Sport Centre, to effectively support your athlete?

Anything else that would be beneficial for CSCM to know about your athlete? *

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