Your first step to training with Rainsberger Athletics is to assist us
with the following information. Once your information is received I
will call you and we can discuss your training goals in further detail.
I look forward to hearing from you!
Lisa
Please fill in the contact information below:*(Required Information)
*Name:
Street Address:
City:
State:
Zip/Postal Code:
Phone Number(s):
* Home:
Office:
Mobile:
* Email:
Date of Birth:
Occupation:
The following information will help in the
assessment of your training needs:
Please describe your athletic strengths, weakness, disabilities:
Have you ever worked with a coach before?
yes
no
Please describe what your coaching expectations are:
What events are you training for?
5k-10k
˝ Marathon
Marathon
Sprint – ˝ IM
Triathlon
Ironman
What are your current race goals?
Current Fitness goals?
Long term race goals?
What days of the week do you prefer to take off?
If you are a triathlete please indicate what days of the week
you prefer to swim, bike, run?
Swim:
Bike:
Run:
Are you currently experiencing any athletic related injuries?
yes
no
If so, please describe them, what medications if any you are on,
and whether you have received a doctor’s diagnosis.
Please use this space to provide additional details about yourself:
In submitting my training and racing information, I certify below that I have read the
above statements and that I understand and agree to the terms and conditions thereof.
*
I have read the above statements and I understand and agree to the terms and conditions thereof.
"Click" to Read Waiver and Disclaimer