• Toque Coaching: Ride with Ben — Session Terms & Waiver

    Complete this before your first session, including your health check, session terms, and waiver.

  • About You

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Under 18?*
  • Format: (000) 000-0000.

  • Your Session

  • Which session are you booking?*

  • Health check

  • Has a doctor ever told you that you have a heart condition or high blood pressure?*
  • Do you have chest pain at rest, during daily activities, or during exercise?*
  • Have you lost balance due to dizziness or lost consciousness in the last 12 months?*
  • Do you have any bone, joint, or soft-tissue problem that could be made worse by exercise?*
  • Has a doctor told you that you should only do medically supervised activity?*
  • If you answered Yes to any of these, please get medical clearance from your doctor before a hard ride or a test. I'll follow up with you.

  • Consent and Signature

  • Session Terms

    Services and fees (CAD):

    • Skills ride, consultation call or race-day plan: $100 per hour, pay as you go.
    • INSCYD test + zones session: $520 and includes the INSCYD analysis, done in partnership with Steve Neal Performance, and a session to review your zones.

    Booking and payment: Sessions are booked by email or the booking page and take place on evenings or weekends. You'll get a QuickBooks invoice after the session, payable within 7 days by e-transfer to toquecoach@gmail.com. The INSCYD test + zones session is invoiced upfront and paid before I order your analysis.

    Cancelling: Free to cancel or reschedule with 72 hours' notice. Later cancellations or no-shows are charged 50% of the session fee. Ben may move or cancel a ride for unsafe weather, road or trail conditions at no charge to you.

    Rides: You bring a road-worthy bike, a helmet (required), water and food. Rides follow the rules of the road. Mountain biking isn't offered.

    Health: You complete the health check in this form and tell Ben about any condition that could affect your safety.

    Insurance: My coaching insurance covers me as your coach. It does not provide personal accident coverage for you. I recommend you get sport accident insurance for your training through your sport's governing body (in BC, that's Cycling BC, or the equivalent where you live).

    Athletes under 18: A parent/guardian is copied on all written communication, and in-person sessions follow the Rule of Two.

  • Privacy

    Your information (contact details, health history, and training and physiological data) is used only to coach you.

    Where it's stored: Jotform, Augo, Google Workspace and QuickBooks, and any other training tool you agree to set up (for example Intervals.icu).

    Who it's shared with:

    • Steve Neal Performance, our testing partner, for your INSCYD analysis
    • Integrated sports team providers, only with your permission each time

    Your rights: You can ask to see, correct or delete your information at any time.

  • Release of Liability, Waiver of Claims & Assumption of Risk.

    PLEASE READ CAREFULLY. By signing, you give up certain legal rights, including the right to sue.

    The Activity: the Ride with Ben sessions booked with Toque Coaching (Ben Chaddock, Unit 214, 3075 Murray Street, Port Moody, BC V3H 0N9, the Activity Provider), including skills rides, in-person rides, consultation, and performance testing involving maximal efforts.

    Assumption of risk: I understand that cycling and training carry inherent risks, including falls; collisions with vehicles, cyclists, or objects; road and weather conditions; equipment failure; overexertion; cardiac events; and serious injury or death. I freely accept and assume all such risks.

    Release: Being of lawful age, and in consideration of being permitted to participate in the Activity, I release and forever discharge the Activity Provider, its owners, directors, officers, employees, agents, assigns, legal representatives, and successors from all actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in my death, which I have sustained or may sustain as a consequence of participating in the Activity, even if such damage, loss, or injury was caused solely or partly by the negligence of the Activity Provider. I understand that I would not be permitted to participate unless I signed this waiver.

    Concurrent release: This waiver is given with the express intention of extinguishing certain obligations owed to me by the Activity Provider, and of binding my spouse, heirs, executors, administrators, legal representatives, and assigns.

    Fitness to participate: I have disclosed my relevant medical history in this form and will tell my coach promptly about any change. I will obtain medical clearance when advised to by the health check, my coach, or a health professional.

    Full and final settlement: I acknowledge that:

    1. I have had sufficient time to review this waiver carefully;
    2. I have been given the opportunity, and encouraged, to seek independent legal advice before signing;
    3. I fully understand the risks and the claims I am waiving;
    4. I am signing freely and voluntarily; and
    5. I am forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury I may sustain while participating in or preparing for the Activity.

    Governing law: This waiver is governed by the laws of the Province of British Columbia.

    Athletes under 18: a parent/guardian signs below and acknowledges these risks on the athlete's behalf.

  • Date Signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Parent/Guardian Date Signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: