Athlete Trainer Disclosure Form
Please complete the Athlete Trainer Disclosure Form to acknowledge and disclose all relevant information for the athlete-trainer relationship. Do not include any sensitive or confidential health or financial details.
Athlete Full Name
*
First Name
Last Name
Trainer Full Name
*
First Name
Last Name
Athlete Email Address
*
example@example.com
Trainer Email Address
*
example@example.com
Date of Disclosure
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Briefly describe the purpose of this disclosure
*
Are there any relevant non-sensitive details or considerations to disclose?
Signature of Athlete or Authorized Representative
*
Submit Disclosure
Submit Disclosure
Should be Empty: