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Initial Contact Form

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Email(Required)

Name(Required)

First Last

Do you play a sport? If yes, which one is your main one?(Required)

No

Baseball

Basketball

Bicycle Motocross (BMX)

Bodybuilding

Bowling

Boxing

Car Racing

Cheerleading

Cricket

Dance

Diving

Fencing

Figure Skating

Football

Golf

Gymnastics

Hockey

Horse Back Riding or Horse Riding

Ice Skating

Karate

Lacrosse

Kick Boxing

Rock Climbing

Rowing

Rugby

Skateboarding

Skiing

Snowboarding

Softball

Squash

Swimming

Tennis

Track and Field

Triathlons

Volleyball

Water Polo

Wrestling

Other

If the sport that you play is not on the list, please put it here:

Age(Required)

Please enter a number from 1 to 115.

Guardian's Name(Required)

First Last

Guardian's Email:(Required)

Do you have any pain? Mobility constraints? Areas of your body where you feel you are leaving performance or athletic potential on the table? Or do you feel like any area of your body is sorer than others & takes longer to recover?

If so rate 1-10? (1 = Absolute Worst Of All Time, 10 = Feel No Pain & I feel Amazing 24/7)

What is the #1 place you frequently feel pain or an area mentioned above

What is the #2 place you frequently feel pain or an area mentioned above

What is the #3 place you frequently feel pain or an area mentioned above

Other

If you were to sit in the seiza position, do you have any pain?(Required)

Rate your pain from 1 (Worst Pain of All Time) to 10 (No pain at all, feel amazing everywhere when in this position)

Seiza-Rocker-Position

Why are you here?

Become more durable and mobile (Avoid Non-Contact Injuries)

Aesthetics without pain

Athletic Performance

Other

Other

Are you looking for your fitness program to be tailored towards weight management?(Required)

Gain Weight

Lose Weight

Maintain Weight

Neither

Are you with one of our affiliated Organizations?

Captain U

Stack Sports

Dallas Patriots

IDLIFE

Ouachita Tigers

Knights Knation

The Future App

Future Stars Series

All Fit

Ballparks of America

TACA Storm

Peak Performance Network

Test and Train Sports

Shine Pediatrics and Wellness Center

contact info

Dallas, TX
info@g8waymax.com
214-499-8481

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Initial Contact Form

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