Dance Team Pre-Participation Fitness Screening
Personal Information
Full Name
Date of Birth
Grade/Year
Contact Number
Medical History
Known medical conditions (if any)
Current medications
Allergies
Injury History
Previous injuries (with dates, if known)
Current injuries or pain
Physical Activity
Other physical activities or sports
Weekly minutes of exercise
Emergency Contact
Name
Relationship
Phone Number
Additional Information
Anything else we should know?