athlete-form – SNWY MT. ENDURANCE

athlete questionnaire

Name: *

First

Last

Email: *

Mobile Number: *

Preferred Communication Channel: *

Birth Date: *

Nationality: *

Profession: *

Gender: *

Preferred Coaching Package: *

When do you intend to start coaching: *

Preferred Running Terrain: *

Road
Track
Trail
Treadmill

Do you train with a GSP sport or smartch watch? *

Specify your watch brand and model:

List your current personal best (PB) times for 5km, 10km, half marathon, marathon, and ultra distance events in the last 3-years: *

e.g. Boston Marathon, 42.2km - Boston, USA - Finish time: 3:26:19 - April '24

Sketch a picture of your typical training week (Monday to Sunday): *

Include your rest days and any typical weekly training / workouts.

Average weekly running distance over the last 4 weeks: *

Average training time over the last 4 weeks: *

Do any cross-training activities take higher priority? *

Have you had a history of injuries or any current injuries? *

Please elaborate on your injury history and include the year(s) when they occurred: *

Include the year when it first occurred and any recurring niggles from this injury.

List your short to medium term goals (PB's, races, etc. within the next 3 to 6 months): *

List your long-range running goals (PB's, races, etc. within the next 12 to 24 months): *

Available hours for running sessions weekly: *

Available hours for cross-training workouts weekly (additional to your running): *

How important is running and exercise in your life?

Selected Value: 1

Where 1 is not important and 10 is very important.

How important is it for you to excel at running at this stage of your life?

Selected Value: 1

Where 1 is not important and 10 is very important.

What do you enjoy most about your running? *

What is your main motivation for running? *

e.g. staying fit, losing weight, etc.

What would you, personally, consider to be a successful running season? *

e.g. PB's, racing, staying injury-free, increased fitness, etc.

Why are you here and what are your expectations from me as your running coach? *

Name of referral: *

I agree to the release waiver. *

I intend to enrol in a training plan or a coaching service with Snowy Mountain Endurance (Pty) Ltd and hereby contract Snowy Mountain Endurance (Pty) Ltd as my running coach for endurance sports. I recognise that a training plan or training schedule prescribed in the Coaching Services or Training Plans may involve strenuous physical activity, including but not limited to competitive running training, muscle strength and endurance training, and potentially other forms of physical activity or exercise that have risks. As with any physical activity training, bodily injury is possible. Also, if I have any health problems, those problems might surface because of physical exercise or conditioning.

I agree to pay for coaching services upfront as agreed upon. Should I require any one-on-one coaching outside the time included in the monthly coaching package, I will pay an agreed-upon additional hourly rate for said services. At my discretion, these services can either be billed as one complete hour or split into two half-hour sessions. I understand that ALL services I require are to be billed and paid for upfront before I receive said services. I agree to give a complete 1-month (30-day) email notice before suspending or cancelling this coaching contract.

I understand the coach and/or athlete can terminate the contract with a full 1-month (30-day) notice. I acknowledge that I will follow the prescribed training plan developed by Snowy Mountain Endurance (Pty) Ltd. Failure to follow two or more prescribed workouts per week for multiple weeks without notifying my coach represents non-compliance and may result in termination of this coaching contract. Further, I acknowledge that failure to provide requested feedback on the prescribed training program for multiple weeks represents my non-compliance and may result in termination of this coaching contract.

In consideration of my participation in this program, I hereby release Snowy Mountain Endurance (Pty) Ltd from any claims, demands, and causes of action as a result of my voluntary participation and enrollment. I fully understand that I may become injured due to registration and subsequent involvement in this program.

In consideration of Snowy Mountain Endurance (Pty) Ltd for the purposes of improving my fitness, I hereby attest that I am in good health, that my statements in the above form are accurate to the best of my knowledge, and that a licensed medical doctor has verified my physical condition. I fully understand the risks inherent in such a training plan and accept for myself or my heirs, and my personal representatives full responsibility for personal bodily injury, death, or property losses that may occur as a result of my being a part of this program or engaging in training sessions. I hereby indemnify, save, and hold Snowy Mountain Endurance (Pty) Ltd from any loss, liability, damage, and cost I may incur due to my participation in this program.

I have read and voluntarily signed this waiver before submitting it. I further agree that no oral representations, statements, or inducements apart from the preceding written agreement have been made. By submitting this release agreement, I am aware that I am waiving certain legal rights that I or my heirs and my personal representatives may have against the releasees. Furthermore, I provide full consent to Snowy Mountain Endurance (Pty) Ltd to design a training plan or administer a training schedule through the Coaching Service for my personal use.