TRAINING PROGAM INFORMATION

General Information
Athlete Name x
  Address
Guardian Name

(if under 18)
 City
E-mail address
State
Phone xxxxxxx
  Zip Code
Additional Phone
         
Athlete Information
Ageee
  		 
SPORTS HISTORY
Height
 
Have you ever done a triathlon? Yes No
Have you ever done a marathon / 1/2 marathon? Yes No
Weight  
  		Please list any information you feel we need to know or you would like us to know or if you have any questions:
Gender

Female

Male

           

Current Training
If you are currently training please indicate your current typical week of training. You can use distance or time/min./hours.

SWIM INFO

How many times a week do you swim

What days of the week do you swim

Longest swim session

Average swim session:

Are you on a program?


RUNNING INFO  

How many times a week do you run

What days of the week do you Run

Longest Run/distance or time

Average Pace min. per mile: (Optional)
Training: Race 5k or 10k
Half Marathon Marathon

CYCLING INFO  

How many times a week do you cycle

What days of the week do you Ride

Longest ride/distance or time

Average speed: (15-17, 18-20, etc)

BRICK/CROSS TRAINING

Are you doing any brick training sessions, swim, bike, run.... or bike and run?

If so what is your longest session bra

(example Bike 20, ran 3, etc. or 1 hour ride run 30 min)

 

Training Specifics
Please list any training specifics such certain days/times you train, if you are on any other program, weights, spinning, etc.

Medical History
Please list any medical problems or injuries past and present.

Please list any medication or supplements you are taking.

When was your last physical, list date, months or years. (example: 6 months ago)

GnotriSports.com requires that you consult with your physician before following any training instructions you receive through Gnotri/Multisportscoach.com or the coaching services provided by our coaching staff'. Neither Gnotri/ Multisportscoach.com nor the coaching staff are licensed medical care providers and represent that they have no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition. Gnotri/Multisportscoach.com and its coaching staff are not prescription systems and are not intended to be a substitute for professional medical advice, diagnosis, or treatment.