PERSONAL DETAILS

Please fill in this form as accurately as possible. All athlete information is considered private and personal and will not be used for any other purpose or given to anyone.

GENERAL INFORMATION

Name:*
Address:
City/Town: State: Postcode:
Country:
Phone: HOME* WORK MOBILE
Email:*
Occupation:
Age: Height (cm): Weight (kg):

PERSONAL GOALS AND AMBITIONS

TRIATHLON/SPORT EXPERIENCE

Sprint Triathlons:
Olympic Distance Triathlons:
Half Ironman/Ironman:
Other:

RECENT RACE RESULTS AND TIMES

Do you know your HR thresholds or Maximum Heart Rate Levels for the individuals sports?

Yes No

If so, when was this recorded and what procedure was used?

Threshold/Maximum H/Rates:
Swim
Bike
Run

SWIM TRAINING INFORMATION

Years Swimming:
# Swim sessions per week:
Do you swim in a squad? Yes No
Triathlon Swim Time
(specify distances, with wetsuit or not)
10 x 100m set time (in pool): min secs

CYCLING TRAINING INFORMATION

Number of years cycling:

Number of years racing:
Average Weekly (Distance/Hours):
# Rides per week:
Longest Cycle (Distance/Time):
Time (in hrs) available for cycling:
Do you have access to indoor training equipment?
If so, what type?
Last 4 weeks of Cycle training
Strengths/Weaknesses/Other factors
(eg Climate, Bike Set-up, Likes/Dislikes)
Injuries from cycling? If so please describe.
How recent was the injury?
What is the current status of the injury?

RUN TRAINING INFORMATION

Number of years running:

Number of years racing:
Average Weekly (Distance/Hours):
# Runs per week:
Longest Run (Distance/Time):
10km PB or estimate:
Marathon PB:
Time available for run training:
Last 4 weeks of Run training
Strengths/Weaknesses/Other factors
(eg Climate, Bike Set-up, Likes/Dislikes)
Injuries from running? If so please describe.
How recent was the injury?
What is the current status of the injury?

WEIGHT TRAINING/STRENGTH TRAINING

Years Strength training:
Currently training? Y N
# Sessions per week
Sample/Typical Session

COACHING INPUT

What do you want from your program and how do you see the Coach helping you the most?

Are you interested in participating in or receiving information about our training camps?

Yes No


 
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