Registration form - Multisport Solutions.com

Register
The first step to registering with Multisport Solutions is to pick the program you feel will help you the most, and then completing the following form. Please take your time and give as much detail as possible. We feel that athlete coach communication is critical and this form is the first step to establishing a good relationship. The more we know about your previous race and athletic history the better we can serve you. Thanks for your time!

All information submitted in this form is and will remain stricly confidential. Multisport Solutions will not share, sell or divulge any of your personal contact information to anyone.

Gold Program	Silver Program	Structured Program
Hourly Consultation	Local Program

Name
Address:
City:
State/Province:
Zip/Postal code:

E-mail:
Home phone:
Work phone:
Cell phone:
Fax:

Gender:
Birth Date:	Year:
Occupation:
Hours of work per week:
Days off per week:

Height:
Weight:
Ideal or peak race weight:
% bodyfat:
Max heart rates for
swimming:
biking:
running:

Personal best times
Swim: 1500m:	2000m:	3800m:

Bike: 20 km:

40km:

90km:

180km:

Run: 1 mile:	5 km:	10 km:
	21 Km:			Marathon:

Please list your goals or focus for the upcoming season:

Please list all of your limiters or weaknesses that may impede your progress:

Please list all of your strengths that will help accelerate your progress:

How many years have you competed in triathlon:

Please list your past race history in triathlon:

Please list previous sport background other than triathlon:

Please list other sports or activities that you may participate/compete in addition to triathlon:

Please list, in detail any injuries that you have or have had in the past:

Please list, in detail any medical condition that may affect your training or physical well being in general:

Please list, in detail any medications that you are on or have been on in the past:

What volume of training (hours) do you achieve in an average week:
swim:
bike:
run:
total:

What volume of training (hours) do you achieve in your biggest week:
swim:
bike:
run:
total:

Because of work and or family commitments do you require a weekly training model (some advanced athletes may benefit from a 10 day or 14-21 day model)? Yes No

Please list the times of the week that you may participate in local workouts (duration, frequency, type of workout etc):

Please rate the importance of the following attributes as they would relate to coaching (with 1 being not very important , 5 being extremely important):
	1	2	3	4	5
Communication Skills
The Coaches Athletic Resume
Personal Appearance
Personal Demeanor
Academic Credentials
Use of New or Innovative training strategies
Previous coaching experience
The Coaches ability to adapt and modify training programs due to unforeseen circumstances or events
The use and implementation of various forms of testing protocol

How would you like us to contact you? E-mail Work phone Home phone
Other:

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