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Midwest Sports Performance Signup

Account holder's email:(Required)
Password:(Required)
Name:(Required)
First Last
Do you play a sport? If yes, which one is your main one?(Required)
- I do not play a sport.
- 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.
Date of Birth:(Required)
MM slash DD slash YYYY
Height (in inches):(Required)
Weight (in pounds):(Required)
Gender:(Required)
Activity Level:(Required)
Guardian's Name:(Required)
First Last
Guardian's Email:(Required)
Do you have any physical pain in your body, if so how would you rate the pain you're having?(Required)
Please rate your physical body pain on a 0-10 scale.
What is the #1 place where you often feel pain, discomfort, or tightness?(Required)
What is the #2 place where you often feel pain, discomfort, or tightness?(Required)
What is the #3 place where you often feel pain, discomfort, or tightness?(Required)
Other:
Do you have any pre-existing conditions or surgeries that we need to know about when building your training program?
Hypothetically, if you were to sit in the seiza position, would you have any pain in your knees?(Required)
Rate the pain you'd have on a 0-10 scale.
Why are you here?(Required)
- Become more durable and mobile
- Avoid non-contact injuries
- I want to look good without pain
- Athletic performance
- Support anti-aging
Other
Are you looking for your fitness program to be tailored towards weight management?(Required)
- Gain Weight
- Lose Weight
- Maintain Weight
- Neither
How much time each day can you commit to your G8way Max exercises?(Required)
- 5-10 min
- 10-20 min
- 20-30 min
We will use this information when our coaches build your training program.
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Client ICF Type

contact info

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

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Midwest Sports Performance Signup

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