TayloredFit Solutions is looking forward to climbing with you! We need to gather some important information before the workshop! Please take time to complete this form. Registrant Who is completing this form * I am completing this form for me I am completing this form for someone else Participant/Client Information Participant/Client Name * First Name Last Name Pronoun * she/her she/they they/them he/him he/they 2-spirit Gender preference not listed DOB * MM DD YYYY Participant/Client Email * Participant Phone (###) ### #### Social Media * Are you on social media? Please share all that apply Select your primary climbing interest Rope (Top Rope, Lead, Sport, Trad) Climbing (Trad, Multipitch, Big Wall Boulder Climbing (Training, Competition Circuit) Boulder (Projecting) Adaptive/Para Climbing Athletes Neuro Blind Wheelchair Upper extremity Lower extremity Fitness Do you have a fitness routine yes no need one Climbing Assessment For climbers only What was your first climbing experience? Please describe. Where was it? How did you feel? What did you experience? How long have you been consistently climbing? Share your climbing vision Team Experience Have you ever qualified and represented the US or any country for team? USA Climbing Youth Sport Team USA Climbing Youth Speed Team USA Climbing Bouldering Team USA Climbing Collegiate Series/Team USA Climbing Adaptive /ParaClimbing Team Another country governing team Nor Cal Jr. Climbing League What is your training experience? How many days a week do you train? 1 2 3 4 5 6 7 Onsight Level (Bouldering) v3-v4 v5-v7 v8+ Onsight Level (Rope) 5.10-5.11 5.12-5.13 5.14+ What are your experiences in working with a coach? What do you like about climbing? Where do you feel your success? What do you like about climbing? What do you feel good at doing? What holds/moves feel most comfortable to you? What are your climbing challenges What would you like to achieve with a profesional coach? Brief Health Information Please complete this brief health history Previous Injuries * None Neck Shoulders Wrist Hand Fingers Knees Foot Visual Impairments * None Wears glasses/contacts for corrective vision Colorblind Depth Limitations Partial Blind Blind Learning Style * What way best describes your learning style? Visual Learner Auditory Learner Kinetic Learner Repetitive Learner Delayed Processor Linear Personality What best describes your ersonality? Extrovert Introvert Ambivert Risk-taker Cautious Assertive Academic Competitive Artistic NeuroSpicey Thank you!
