Signature Mentorship Application

with Sami Palmer

Human First Performance

Thank you for your interest in the Signature Mentorship.

To maintain a supportive small-group environment, I ask parents and athletes to complete a short application before joining. This helps to ensure the program is the right fit for you and allows me to understand a little more about your athlete and the challenges they may be navigating in sport.

The form takes 2–3 minutes to complete.

Once submitted, I will personally review the application and be in touch with the next steps.

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Parent or Guardian

Name

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Parent or Guardian

Best Contact Number

Next Question

Athlete Information

Name and Age

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Athlete Information

Sport

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Athlete Information

Current level of competition

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Athlete Experience

How would you describe your athlete's current experience in sport?

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Athlete Experience

What challenges is your athlete currently navigating in their sport?

(Select all that apply)

Performance pressure or nerves in competition
Confidence rising and falling with results
Being very hard on themselves after mistakes
Difficulty letting go of poor performances
Comparing themselves to teammates or competitors
Struggling after setbacks or injuries
Feeling overwhelmed by expectations
Balancing sport with school or other commitments
Loss of enjoyment or motivation in their sport
None of the above — we’re mainly looking to build stronger mental skills
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General Question

What prompted you to explore this mentorship program at this time?

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Athlete Readiness

Is your athlete open to participating in group discussions and activities as part of this program?

Yes
Unsure but willing to try
Not sure yet
Other
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Final Question

Is there anything else you would like us to know about your athlete or their situation?

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Parent or Guardian Details

Best Email Contact

Application Received

Thank you for taking the time to complete the application, I really appreciate you sharing the information.

Your application has been submitted successfully.

I’ll personally review your responses and be in touch within the next 48 hours with the next steps.