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Des Moines Athlete Questionnaire

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Question 1 of 11

Athlete's First and Last name. *Make a separate questionnaire if you have multiple athletes please*

Question 2 of 11

Athlete's Date of Birth? mm/dd/yyyy

Question 3 of 11

Athlete Gender

A

Male

B

Female

C

Prefer Not to Say/Other

Question 4 of 11

Handedness

A

Right

B

Left

C

Ambidextrous

Question 5 of 11

Athlete T-Shirt Size (Adult Sizes)

A

XS

B

S

C

M

D

L

E

XL

F

XXL

Question 6 of 11

School District/High School

Question 7 of 11

Select Your Top Sport

A

Baseball

B

Basketball

C

Bowling

D

Cross Country

E

Crossfit

F

Cycling

G

Equestrian

H

Fitness

I

Football

J

Frisbee

K

Golf

L

Gymnastics

M

Hockey

N

Lacrosse

O

Running

P

Rugby

Q

Soccer

R

Softball

S

Swimming

T

Tennis

U

Track & Field

V

Volleyball

W

Wrestling

X

Other

Question 8 of 11

Location

A

Des Moines

B

Quincy

Question 9 of 11

Parent/Guardian First and Last Name

Question 10 of 11

Parent Phone Number xxx-xxx-xxxx (If you are 16 or over and want us to contact you, put your number down and note it is you)

Question 11 of 11

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