Personal Training Intake

Before you begin

HELP US UNDERSTAND THE PLAYER.

This form does not save information to the website. When finished, the family’s email application opens with the completed response addressed to Roger Teixeira at support@VDLTraining.com. Please review it, add any supporting medical guidance if needed, and press Send. Families who prefer paper may download the blank PDF.

Player and family information

Tell us who the player is and how to reach the family.

Player full name Date of birth Age Current club or team Primary position Parent or guardian Parent email Phone Emergency contact

Dominant foot Right Left Developing both

School or grade Preferred contact method

Player profile

Help us understand the player’s current football environment.

Years playing Current training days per week

Prior private training Yes No

Coach or program if applicable What does the player enjoy most about football What would meaningful progress look like over the next 3 to 6 months

Health and player readiness

Share anything that may affect safe participation or session planning.

Current injury pain restriction or return-to-play plan Medical condition allergy medication or relevant history

Cleared for unrestricted football activity Yes No Medical guidance attached

Physician or therapist contact if applicable

Vasco Da Lor coaches provide football development and physical preparation, not medical diagnosis or treatment. Families must disclose relevant restrictions and obtain medical clearance when appropriate. Do not use this form for an emergency.

Family commitment and consent

A reliable development environment begins with clear communication.

Parent or guardian signature Player signature Date

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Email is not guaranteed to be encrypted. Families may download or print the response and deliver it directly if preferred.

PLAYER INTAKE
AND PROFILE.

HELP US UNDERSTAND THE PLAYER.

Player and family information

Player profile

Development priorities

Training preferences and availability

Health and player readiness

Family commitment and consent

PLAYER INTAKEAND PROFILE.

HELP US UNDERSTAND THE PLAYER.

PLAYER INTAKE
AND PROFILE.