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Assessment Application

ICS ATL advises you to consult your physician prior to increasing your physical activity

or starting any new exercise program


Athletic Readiness 

Please answer each question. Use the text box to provide additional information where applicable.

Have you been diagnosed with high cholesterol or high blood pressure?
Have you been diagnosed with a heart condition or do you frequently experience chest pain?
Have you been dignosed with joint/bone disease?
Have you had any surgeries in the past 6 months?
Are you pregnant?
Are you currently taking any prescription medications?
Do you smoke?
Do you drink alcohol?

Type and submit your e-signature below to confirm you have completed this form prior to starting a Strength & Conditioning Program with Anybodys Athlete LLC. or Coach “Butch” Wesley and that your responses are honest, true, and accurate.


You will be directed the to review & acknowledge Policies & Procedures upon submitting this form.

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