Netball Assessment Permission Form

Netball Pre-Screening Permission Form

DOB *:

Does your netballer (or have they in the past) experienced any of the following?
FOOT, ANKLE, SHIN OR KNEE PAIN?
NOT KEEPING UP WITH PEERS?
TRIPPING / FALLING – MORE THAN USUAL?
PREVIOUS INJURIES? PLEASE WRITE BELOW

I authorise A Step Ahead Foot & Ankle Care to complete a preseason assessment on my child. *
I authorise A Step Ahead to discuss the findings of the assessment with my child’s netball coach? *

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