Water Polo NSW Women's Futures - Athlete Information & Training History

Congratulations on your selection into the Water Polo NSW Womens Futures Squad.

Prior to the commencement of the program, we would like to collect some important information from you including your health, training and injury history.

Please fill out the follwing survey.

If you have any questions about the survey, please contact pathways@waterpolonsw.org.au OR kate.pipkin@nswis.com.au

Full Name*

Date of Birth*

(DD/MM/YYYY)

Email Contact for Program Information*

Please enter the email contact you would like communications regarding the program sent to. (You may enter both an athlete and parent contact)

Do you have any medical conditions*

Do you have any allergies or intolerances*

Please specify any recent or reoccurring injuries.*

E.g Rotator cuff tear December 2024 - Received physiotherapy treatment - No further issues OR Hip Impingement (Current) - Receiving treatment.

Please share your training history in the last 1-3 Months*

Monday to Sunday Breakdown of Training and Games - Include the following: Water Polo (Club, NSWIS training agreement, swimming, school etc.), Gym (Weights, Pilates, etc.), other.

Please share your training history in previous 3-6 Months*

Monday to Sunday Breakdown of Training and Games - Include the following: Water Polo (Club, NSWIS training agreement, school etc.), Gym (Weights, Pilates, etc.), other.

What will your training (club, gym, swim) look like post NSW State Championships (Col Smee/W18's)*

Prior to Christmas, January return through AWL

Who is your preferred Physiotherapist*

Please include: Name, Email, Phone number

Will you be away during December/January? Please specify dates*

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