top of page

Use tab to navigate through the menu items.

Sports Matrix

Par-Q Form

Pre-questionnaire for your teenager

First Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Birthday ( must be over 10 yrs of age to participate)

Next of Kin

Next of Kin Signature

Tell me about you

Are you interverted (quiet

Are you an extravert (outgoing

Are you a determined person

Enjoys sports with teams

Like to exercise alone

Stiving to be a professional athlete

Looking forward to working with Sports Matrix to make personal changes

What are you wanting to learn from Sports Matrix?

Nutritional advice - learn how to make better food choices

Exercise advice - Learn how to make better exercise choices

Sport specific training

To learn the skills to use food and exericse to help with a more positive mindset

To link with like minded people

To work together with your parents on food and exercise choices

All of the above

I accept terms & conditionsView terms of use

I confirm that the information given in this form is true

Your Signature

Date

Thanks for submitting!

bottom of page