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.
Why are you coming to Profeet?
Please tell us about your previous running shoes:
Previous issues in footwear:
Running/walking mileage: (Average per week)
Aspirations and training goals:
Tell us about any current pain or previous injury:
Any diagnosis given?
Date of Birth:
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:
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:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Sports Lab Registration Form
Agree & Sign