Name:
DOB
Postal Address
City
State
Email:
Phone:
Years in Triathlon 1 year 2-5 years 6+ years *
Triathlon distances raced sprint olympic half IM IM
Best Race Swim Time (distance & time)
Best Race Bike Time (distance & time)
Best Race Run Time (distance & time)
Preferred Discipline:
How often do you train daily twice daily 2-3 times a week evenings mornings when I can
Do you train in a group? Yes No
Do you currently have a coach for any of the disciplines? Yes No
If yes above, please give coaching details (discipline & type of sessions)
Do you have any/all of the following training tools? HRM indoor trainer spin bike
Do you currently have any injuries? Yes No
If yes above, please provide details:
Do you have any re occurring, or any on going injury concerns?
What is your current goal - training or racing
