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Online Coaching New Athlete Signup

Name
Email
Street
City
State
Zip
Country
Phone
Date of birth
Height
Weight
Percent body fat
Resting heartrate
Max heartrate
Medications
Current state of health
If currently sick or injured, desribe difficulty and date of onset.
Health risks (ie. family history, chronic disease, etc.)
   
Previous exercise or competitive history
Racing experience
List races in last 6 months
Distance Pace/Time Date
Personal bests
Distance Pace/Time Date
Sport interest
 
List your training goals (future races, distances, dates and goal times).
Describe any previous problems with racing or training.
Why are you seeking personal coaching?
   
Do you agree to the following waiver?

 
   
     

 

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