Sports Lab Registration Form


10th August 2020

 

 

Please complete all required fields, review your answers, then sign at the bottom.

Please answer not applicable (N/A) where necessary.
You will be emailed a copy of your registration document for your records.

 

 

YOUR DETAILS

Name:

Postcode:

Mobile:

Email:

 

RELEVANT SPORTS INFORMATION

Why are you coming to Profeet?

Please tell us about your previous running shoes:

Shoe make:

Shoe model:

Shoe size:

Shoe age:

 

Previous issues in footwear:

Running/walking mileage: (Average per week)

 

Terrain preference:

 

Aspirations and training goals:

 

ISSUES OR INJURIES

Tell us about any current pain or previous injury:

Any diagnosis given?

By Whom?

 

RELEVANT PHYSICAL AND HEALTH INFORMATION

Height:

Weight:

Date of Birth:

 

 

Weekly Exercise:

 

Would you say your work routine/job is…?:

 

Are you diabetic?

 

Do you have any vascular issues (e.g. Lympodema):

If yes, please provide details:

 

Do you have any other relevant medical/injury history:

 
 

PRIVACY POLICY & DATA PROTECTION

In order to perform an analysis or assist with insole, footwear, or ski boots or movement advice, we need to process personal data* and data relating to your health.

Our Privacy Notice sets out what personal data about you we hold and what we do with it.

Our Disclaimer sets out Profeet does and your responsibilities.

Please read our COVID-19 Safe Working Policy before attending your appointment.

This data* is processed for the purposes of performing our contract with you or for our legitimate interests. We do not share your data with third parties. However, any data you have provided relating to your health can only be processed with your consent.

 

If you are under 16 years of age this form must be signed by your parent or legal guardian

 

*Examples: name, height, weight, shoe size, video clips, pressure scans, etc

 

 

Confirmation and signature:

Leave this empty:

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Signature Certificate
Document name: Sports Lab Registration Form
lock iconUnique Document ID: 056eea192f71d817b7f62d876af8d3789823d1c2
Timestamp Audit
29th June 2020 10:46 am BSTSports Lab Registration Form Uploaded by Customer Services - info@profeet.co.uk IP 82.6.170.248