| * Required fields |
| Name *
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| E-mail Address *
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| Phone number * |
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| Address * |
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| Date of Birth * |
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| Goals - SPECIFIC and broad; short and long-range * |
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| Athletic background |
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| Previous/current injuries |
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| Health History - Asthma, heart conditions, diabetes, osteoporosis, etc. |
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| Number of hours per day/week available to train |
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| Number of hours per day/week trained in the past several weeks and within the past year |
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| Perceived weaknesses - both general sport (swimming is weakness), and within each sport (riding into wind, running hills, etc.) |
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| Strengths |
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| Weight training routine (if you currently lift) |
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| Races - with priorities - A, B, C races - no more than two 'A' priority races! |
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| Information on if and/or when you swim with a masters swim team, like to join a group ride every so often . . . |
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| Travel/family commitments that needs to be considered when designing the schedule. |
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| Number of weeks you are paying for |
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| Please provide a sample week if you can (M - swim&wts, T - long run, etc.) |
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| Anything else you may find helpful!! |
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| Select your UserID * |
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| Select your Password * |
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