Athlete Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Instagram
Facebook
Referral
Current Client
Other
Please Specify
*
What kinds of Fitness Training do you participate in weekly: (check all that apply)
Strength Training
Running
Cycling
Yoga
Boot Camp/CrossFit/HIIT
Swimming
Team Sports
Other
What kinds of Fitness Training do you participate in weekly: (check all that apply)
Cycling
Running
Team Sports
Yoga
Swimming
Pickleball
Boot Camp/HIIT/CrossFit
Other
What kinds of Fitness Training do you participate in weekly: (check all that apply)
Strength Training
Cycling
Running
Other
Rate your Current Fitness, 1 being very low or just starting out, 5 being ok or having general fitness, and 10 being top fitness.
1
2
3
4
5
6
7
8
9
10
With respect to Strength Training, what type are you most training for?
Please Select
General Strength
Power Lifting
Supplemental to Endurance Events
I don't train strength training
With respect to Strength Training, how often are you training each week?
Please Select
1-2x a week
2-3x a week
2-4x a week
3-5x a week
With respect to Strength Training, how often would you like to train each week?
Please Select
1-2x a week
2-3x a week
2-4x a week
3-5x a week
With respect to running, what distance are you mostly training for?
Please Select
5k
10k
15k
Half Marathon
Marathon
Ultra Marathon (50k-100k)
Ultra Marathon (100k-100Miles)
I don't train for running
What distance was your longest run the past 3 months?
What weekly distance have you typically ran over the past 3 months?
With respect to cycling, what event are you most training for?
Please Select
Fitness Classes
Century Ride
Multi Day Ride
I don't train for cycling
What distance was your longest ride the past 3 months?
What weekly distance have you typically rode over the past 3 months?
Have you worked with a coach previously?
Yes
No
Have you had any injuries within the past year that forced you to stop activity?
Please Select
No
Yes
How many days are you typically training each week?
2-3 days
3-4 days
4-5 days
5+ days
How many days would you like to train each week?
2-3 days
3-4 days
4-5 days
5+ days
About how long are your weekday training sessions?
Under 30 minutes
About 30 minutes
Up to 60 minutes
Over 60 minutes
About how long are your weekend training sessions?
Less than 1 hour
About 1 hour
1-2 hours
Over 2 hours
During a training session, do you find yourself
Please Select
Not Sweating and having Light Breathing
Light Sweating and Increased Breathing
Heavy Sweating and Labored Breathing
What recovery/therapy options do you include into your weekly or monthly routine?
Massage
Salt Baths
Foam Rolling
Stretching
Physical Therapy
Chiropractic
Cryotherapy
None of Above
Do you use any of these services on a weekly or monthly basis?
Chiropractic
Physical Therapy
Massage
None
What is your short term goal within the next 3-6 months?
What is your long term goal within the next 6-12 months?
What is your long term fitness goal over a year from now?
What shirt size do you normally wear for a comfortable t-shirt?
Small
Medium
Large
XL
What size footwear do you use for your training sessions?
ex. women's 7.5 or men's 12 wide
Submit
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