Athletes 4 Data Sovereignty Pre-registration Form First Name Last Name Age Email Phone Number Sport Information: Please check all sports that you have experience in and the years of experience you have for each sport below: (When calculating number of years include from when you first began competing or performing) Wrestling None 1-5 years 6-10 years 11-20 years 21+ Baseball/Softball None 1-5 years 6-10 years 11-20 years 21+ Basketball None 1-5 years 6-10 years 11-20 years 21+ Cricket None 1-5 years 6-10 years 11-20 years 21+ Football None 1-5 years 6-10 years 11-20 years 21+ Mixed Martial Arts None 1-5 years 6-10 years 11-20 years 21+ Weight Lifting None 1-5 years 6-10 years 11-20 years 21+ Golf None 1-5 years 6-10 years 11-20 years 21+ Soccer None 1-5 years 6-10 years 11-20 years 21+ Hockey None 1-5 years 6-10 years 11-20 years 21+ Lacrosse None 1-5 years 6-10 years 11-20 years 21+ Tennis None 1-5 years 6-10 years 11-20 years 21+ Vollyball None 1-5 years 6-10 years 11-20 years 21+ Track & Field None 1-5 years 6-10 years 11-20 years 21+ Swimming None 1-5 years 6-10 years 11-20 years 21+ Gymnastics None 1-5 years 6-10 years 11-20 years 21+ E Sports None 1-5 years 6-10 years 11-20 years 21+ Pickleball None 1-5 years 6-10 years 11-20 years 21+ Cheerleading None 1-5 years 6-10 years 11-20 years 21+ Water Polo None 1-5 years 6-10 years 11-20 years 21+ Auto Racing None 1-5 years 6-10 years 11-20 years 21+ Motorcycle Racing None 1-5 years 6-10 years 11-20 years 21+ Shooting None 1-5 years 6-10 years 11-20 years 21+ Boxing None 1-5 years 6-10 years 11-20 years 21+ Cycling None 1-5 years 6-10 years 11-20 years 21+ Sport Information Do you see personalized advertising and media content related to your sport or personal health, and how it affects your body? Yes No Have you shared or come across advertising/media content related to your sport or consumption of products, goods, or services? Yes No Do you use the internet to search for content related to sports, food, beverages, supplements, vitamins, medications, equipment, or services? Yes No Do you use a smartphone, including apps or add-on services, to access media/content related to sports, food, beverages, supplements, vitamins, medications, equipment, or services? Yes No Have you ever used Google to research health-related information that relates to the impact of Sports on your body? Yes No Have you watch TV shows and/or streaming channels that have content/media related to sports, food, beverages, supplements, vitamins, medications, equipment, or services? Yes No Have you ever scanned a QR code or taken a picture of a product, good, or service related to your sport? Yes No Have you ever scanned a QR code or taken a picture of a product, good, or service related to supporting your personal health? Yes No Have you ever received a referral from a teammate, friend, or family member for a product, good, or service related to supporting your health or sport? Yes No Which web browsers do you frequently use? Chrome Safari Fire Fox Brave Duck Duck Go Which social media platforms have you use? Facebook InstaGram Tik Tok Twitter Agreement: I understand that by submitting this preregistration form, I am expressing my interest in becoming a member of Athletes 4 Data Sovereignty. I acknowledge that I will be required to provide additional information and agree to the terms and conditions outlined in the Athletes 4 Data Sovereignty Membership Agreement. Parental Permission Send
