Request a screening event

Request a sports medical screening event for your group here – free and without obligation. We will get back to you with an offer.

Fields marked with * are required.

Your contact details

I am requesting as *

Parent Coach/club School Other group

First name *

Last name *

Email address *

Phone number *

Include the country code if you are not in Germany (e.g. +44 …).

Your group

Estimated number of participants *

Age range of participants *

years

Possible ages are 7 to 70. If everyone is the same age, choose the same age twice.

Organisation / club / group name (optional)

Sport (optional)

Location

Country *

Postal code *

City *

Street (optional)

House number (optional)

Additional location details (optional)

We can agree on the exact address later.

Preferred dates

Tell us up to three time windows in which your group is available. We will set the exact duration of the event in our offer.

Preferred date 1 *

Date

Available from

Available until

Alternative 2 (optional)

Date

Available from

Available until

Alternative 3 (optional)

Date

Available from

Available until

Further information

Further information or requests (optional)

Organisational notes only – please do not enter health information about individual participants.

Yes, I would like to receive news from AthletiQ Health by email (you can unsubscribe at any time).

We use your details to process your request. See our privacy policy for details.