2004 Conference Registration Form
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HUSKIE ATHLETIC COMPLIANCE OFFICE
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Huskie Life Skills Consultation Request Form
TEAM INFORMATION
Number of Athletes
Team Nutritionist/Dietician (Please Select One)
Pocket Nutrition Coach: Photo Food Journalism for Student-Athletes. (2-4 week program) Team Talks: Discuss common concerns and specific nutrition strategies for the sport Menu Planning: Analyze resident hall meal offerings & typical student-made meals and recommend appropriate menu selections Grocery Tours: Provide grocery store tour, discuss label reading and high quality carbohydrate and protein choices
Preferred Semester Preferred Dates Available Preferred Times Available
Please indicate any specific issues you would like addressed during your session, if any:
Sports Psychologist (Please Select One) Anxiety & Energy Management Attention & Concentration Control (Focusing) Communication Goal Setting Imagery, Visualization & Mental Practice Self-Talk Team Building Time Management / Organization Preferred Semester Preferred Dates Available Preferred Times Available
Please indicate any specific issues you would like addressed during your session, if any:
Coach's Signature:
Date:
HUSKIE LIFE SKILLS OFFICE ONLY Date Rec'd:
Confirmed w/Speaker
Workshop Completed
HUSKIE ATHLETIC COMPLIANCE OFFICE
Huskie Life Skills Consultation Request Form
TEAM INFORMATION
Number of Athletes
Team Nutritionist/Dietician (Please Select One)
Pocket Nutrition Coach: Photo Food Journalism for Student-Athletes. (2-4 week program) Team Talks: Discuss common concerns and specific nutrition strategies for the sport Menu Planning: Analyze resident hall meal offerings & typical student-made meals and recommend appropriate menu selections Grocery Tours: Provide grocery store tour, discuss label reading and high quality carbohydrate and protein choices
Preferred Semester Preferred Dates Available Preferred Times Available
Please indicate any specific issues you would like addressed during your session, if any:
Sports Psychologist (Please Select One) Anxiety & Energy Management Attention & Concentration Control (Focusing) Communication Goal Setting Imagery, Visualization & Mental Practice Self-Talk Team Building Time Management / Organization Preferred Semester Preferred Dates Available Preferred Times Available
Please indicate any specific issues you would like addressed during your session, if any:
Coach's Signature:
Date:
HUSKIE LIFE SKILLS OFFICE ONLY Date Rec'd:
Confirmed w/Speaker
Workshop Completed
