Train2Race.com


Your Online Professional Triathlon and Running Coach
Fill out an application here!	APPLICATION *Step One:* Complete and submit this application *Step Two:* Confirm which program you are signing up for by selecting the "Add to Cart" button underneath the program's description, then proceed to "Secure Checkout" to submit payment: *Step Three:* Your online coach will contact you by phone within 2 business days, and a customized program will be created especially for you (phone calls for United States clients only). Contact Information * Required fields Name : Email : Address : City : State : Zip : Home Phone : - - Work Phone: - - Cell Phone: - - Time/day that would be best for the initial phone call: Which phone number is best to call at that time? Personal Information* Male/Female: Occupation: Weight : Height : ft. in. T-shirt Size: Birthday (mm/dd/yy): / / Age : Training Program Information* Event name and place of the particular race you are signing up for: Date of race you are signing up for (mm/dd/yy): / / Distance of race: Goal time for your race: Describe your experience with this sport: How many hours per week do you train now: Would you consider yourself a beginner, intermediate, or advanced athlete in your sport: Running: Triathlons: Biking: Swimming: Briefly describe your athletic background: Please list any recurring injuries: List any injuries that you are currently dealing with: List any health problems and medications that restrict your training – please explain: Have you had a recent check-up from your doctor and obtained clearance to participate in endurance training? What day do you prefer for rest days? What day do you prefer to do your long runs? What day do you prefer to do your long bike rides? What day do you prefer to do bricks (not all weeks will have bricks)? Please list the goals you have for this event (train for first race, train for a greater distance, improve speed, lose weight, etc.): Would you like to receive weekly fitness articles to be sent to your email? Yes No Is there any aspect of fitness you are particularly interested in learning more about? Have you used Train2Race, LLC programs in the past?Yes No If so, when? Which training program did you use? How did you hear about us? Contract Train2Race, LLC hereby grants to CLIENT the right to receive, use and enjoy the training programs of Train2Race, LLC throughout the term and to the extent described under the event's description (event descriptions can be found under the "Run Programs" and "Triathlon Programs" pages on the website). I understand that I will pay my entire fee upfront. Client's Initials : Date (mm/dd/yy) : / / Informed Consent Agreement Description of the Exercise Program: I understand that my exercise program will involve participation in a number of types of fitness activities. These activities will vary depending upon my established objectives, but will probably include: 1. aerobic activities including, but not limited to, the use of treadmills, bicycles, running track, swimming pools, spinning machines, and outdoor running; 2. muscular endurance and strength building exercises including, but not limited to, the use of free weights, weight machines, calisthenics, and other exercise programs; 3. other activities selected by my coach and agreed upon by me; and 4. selected physical fitness tests and activities that measure my progress. Description of Potential Risks: I agree that this is an explanation that no exercise program is without inherent risks and that, regardless of the care taken by my coach, he/she cannot guarantee my personal safety. For example, when one induces cardiovascular stress through activity, injuries can range from occasional minor injury (e.g. pulled muscles, muscle soreness) to infrequent serious injury (e.g. heart attack, stroke, or other cardiovascular accidents) to the very rare catastrophic incident (e.g., death, paralysis). Likewise, I know that engaging in muscular endurance, strength building, and other fitness activities occasionally results in minor injuries (e.g. bruises, musculo-skeletal strains and sprains), infrequently, more serious injuries (e.g. muscle tears, herniated disks, torn rotator cuffs), and very rarely, catastrophic injury (e.g., death, paralysis). I realize that when participation in any exercises or conditioning activity, there is always a possibility that minor injuries, major injuries, or catastrophic injury/death may occur. Description of Potential Benefits: I understand that a regular exercise program has been shown to have definite benefits to general health and well-being. I know that some of the physiological benefits of a regular exercise program can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement in cardiovascular function, reduction in risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility. I further understand that regular exercise can have psychological benefits, often improving one’s outlook and feeling of well-being, as well as relieving tension and stress. Client Responsibilities: I understand that it is my responsibility to: 1. fully disclose any health issues (including diabetes, heart problems, seizures, weight issues, and asthma) or medications that are relevant to participation in a strenuous exercise program; 2. inform the coach if there are activities with which I do not feel comfortable; 3. cease exercise and report promptly any unusual feelings (e.g. chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program; and 4. clear my participation with my physician. Client Acknowledgements: In agreeing to this exercise program, I, the client: · Acknowledge that my participation is completely voluntary. · Understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks. · Understand that the achievement of health or fitness goals cannot be guaranteed · Have had a voice in planning and approving the activities selected for my exercise program · Have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction. · Am in good physical condition, have no impairment which might prevent my participation in such activities, and have been advised to consult a physician prior to beginning this program · Have been advised to cease exercise immediately if I experience unusual discomfort and feel the need to stop. --- I have read and understand the above agreement. I have been made fully aware of and understand the potential risks involved in Train2Race, LLC’s physical fitness program. I hereby consent to those risks and am freely and voluntarily participating in this program. Finally, I am freely signing this agreement. Signed ___________________________ Initialed : Date (mm/dd/yy) : / / Waiver I, the undersigned, am fully aware that participating in any exercise program, and in particular participating in running and triathlons, can potentially be dangerous, and carries the potential for death, serious injury, and illness. I hereby assume all risk of activities recommended throughout the training program, including my death, occurring while participating in, or as a result of, my training program. I hereby release, waive, discharge and covenant not to sue Train2Race, LLC and all individual trainers from any and all liability to me, my personal representatives, heirs, and successors, and assigns for any loss, liability, personal injury, medical or hospital bills, theft, or damage or costs of any kind, including court costs and attorneys’ fees that my be incurred due to my involvement in the training program and claim therefore on account of injury to me, including death, caused by their gross negligence in advising me while participating in the Train2Race, LLC training programs. I agree not to sue any of the persons, associates, companies, or entities associated with Train2Race, LLC. I certify that I am physically fit for the training program, I am not aware of any physical disability or health-related reasons or problems which would preclude or restrict my activities, and I have not been advised by a qualified health professional against participating in an exercise training program, including a rigorous program for running and triathlons. I understand that the articles provided in my program are for informational use only and neither Train2Race, LLC nor its employees are licensed medical care providers and have expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition. I also understand that the Train2Race training plans are designed to enhance performance, but cannot guarantee any outcome or result of my event and/or training program. I hereby affirm that I am eighteen (18) years of age or older. I have read the document and I understand its contents. I have had an opportunity to ask questions and have them answered. ---- I agree that this acknowledgement of risk, waiver of liability and hold harmless agreement shall bind all family, heirs, assigns and personal representative and shall be deemed as a release, waiver, discharge and covenant not to sue Train2Race, LLC, its members, agents, directors, and employees. This Agreement constitutes “a writing signed by You” under any applicable law or regulation. I certify by selecting the “I Agree” option below that I have read the above statements and that I understand and agree to ALL the terms and conditions thereof without modification. I agree to the above Signed ___________________________ Initialed : Date (mm/dd/yy) : / /
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Your Online Professional Triathlon and Running Coach

APPLICATION

Step One: Complete and submit this application

Step Two: Confirm which program you are signing up for by selecting the
"Add to Cart" button underneath the program's description, then proceed to "Secure Checkout" to submit payment:

Step Three: Your online coach will contact you by phone within 2 business days, and a customized program will be created especially for you (phone calls for United States clients only).

Contact Information

* Required fields

Name *:

Email *:

Address *:

City *:     State *:        Zip *:

Home Phone *: -  -     Work Phone: -  -

Cell Phone: -  -

Time/day that would be best for the initial phone call:

Which phone number is best to call at that time?

Personal Information

Male/Female:      Occupation:

Weight *:             Height *:   ft. in.        T-shirt Size:

Birthday (mm/dd/yy):   /   /                Age *:

Training Program Information

Event name and place of the particular race you are signing up for:

Date of race you are signing up for (mm/dd/yy): / /

Distance of race:

Goal time for your race:

Describe your experience with this sport:

How many hours per week do you train now:

Would you consider yourself a beginner, intermediate, or advanced athlete in your sport:
              Running:
              Triathlons:
              Biking:
              Swimming:

Briefly describe your athletic background:

Please list any recurring injuries:

List any injuries that you are currently dealing with:

List any health problems and medications that restrict your training – please explain:

Have you had a recent check-up from your doctor and obtained clearance to participate in endurance training?

What day do you prefer for rest days?

What day do you prefer to do your long runs?

What day do you prefer to do your long bike rides?

What day do you prefer to do bricks (not all weeks will have bricks)?

Please list the goals you have for this event (train for first race, train for a greater distance, improve speed, lose weight, etc.):

Would you like to receive weekly fitness articles to be sent to your email?
Yes No

Is there any aspect of fitness you are particularly interested in learning more about?

Have you used Train2Race, LLC programs in the past?Yes No

            If so, when?

Which training program did you use?

How did you hear about us?

Contract

Train2Race, LLC hereby grants to CLIENT the right to receive, use and enjoy the training programs of Train2Race, LLC throughout the term and to the extent described under the event's description (event descriptions can be found under the "Run Programs" and "Triathlon Programs" pages on the website). I understand that I will pay my entire fee upfront.

Client's Initials *:     Date (mm/dd/yy) *: / /

Informed Consent Agreement

Description of the Exercise Program:
I understand that my exercise program will involve participation in a number of types of fitness activities. These activities will vary depending upon my established objectives, but will probably include:
1. aerobic activities including, but not limited to, the use of treadmills, bicycles, running track, swimming pools, spinning machines, and outdoor running;
2. muscular endurance and strength building exercises including, but not limited to, the use of free weights, weight machines, calisthenics, and other exercise programs;
3. other activities selected by my coach and agreed upon by me; and
4. selected physical fitness tests and activities that measure my progress.
Description of Potential Risks:
I agree that this is an explanation that no exercise program is without inherent risks and that, regardless of the care taken by my coach, he/she cannot guarantee my personal safety.
For example, when one induces cardiovascular stress through activity, injuries can range from occasional minor injury (e.g. pulled muscles, muscle soreness) to infrequent serious injury (e.g. heart attack, stroke, or other cardiovascular accidents) to the very rare catastrophic incident (e.g., death, paralysis). Likewise, I know that engaging in muscular endurance, strength building, and other fitness activities occasionally results in minor injuries (e.g. bruises, musculo-skeletal strains and sprains), infrequently, more serious injuries (e.g. muscle tears, herniated disks, torn rotator cuffs), and very rarely, catastrophic injury (e.g., death, paralysis).
I realize that when participation in any exercises or conditioning activity, there is always a possibility that minor injuries, major injuries, or catastrophic injury/death may occur.
Description of Potential Benefits:
I understand that a regular exercise program has been shown to have definite benefits to general health and well-being. I know that some of the physiological benefits of a regular exercise program can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement in cardiovascular function, reduction in risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility. I further understand that regular exercise can have psychological benefits, often improving one’s outlook and feeling of well-being, as well as relieving tension and stress.
Client Responsibilities:
I understand that it is my responsibility to:
1. fully disclose any health issues (including diabetes, heart problems, seizures, weight issues, and asthma) or medications that are relevant to participation in a strenuous exercise program;
2. inform the coach if there are activities with which I do not feel comfortable;
3. cease exercise and report promptly any unusual feelings (e.g. chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program; and
4. clear my participation with my physician.
Client Acknowledgements:
In agreeing to this exercise program, I, the client:
· Acknowledge that my participation is completely voluntary.
· Understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks.
· Understand that the achievement of health or fitness goals cannot be guaranteed
· Have had a voice in planning and approving the activities selected for my exercise program
· Have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction.
· Am in good physical condition, have no impairment which might prevent my participation in such activities, and have been advised to consult a physician prior to beginning this program
· Have been advised to cease exercise immediately if I experience unusual discomfort and feel the need to stop.
---
I have read and understand the above agreement. I have been made fully aware of and understand the potential risks involved in Train2Race, LLC’s physical fitness program. I hereby consent to those risks and am freely and voluntarily participating in this program. Finally, I am freely signing this agreement.

Signed ___________________________ Initialed *:

Date (mm/dd/yy) *: / /

Waiver

I, the undersigned, am fully aware that participating in any exercise program, and in particular participating in running and triathlons, can potentially be dangerous, and carries the potential for death, serious injury, and illness. I hereby assume all risk of activities recommended throughout the training program, including my death, occurring while participating in, or as a result of, my training program. I hereby release, waive, discharge and covenant not to sue Train2Race, LLC and all individual trainers from any and all liability to me, my personal representatives, heirs, and successors, and assigns for any loss, liability, personal injury, medical or hospital bills, theft, or damage or costs of any kind, including court costs and attorneys’ fees that my be incurred due to my involvement in the training program and claim therefore on account of injury to me, including death, caused by their gross negligence in advising me while participating in the Train2Race, LLC training programs. I agree not to sue any of the persons, associates, companies, or entities associated with Train2Race, LLC. I certify that I am physically fit for the training program, I am not aware of any physical disability or health-related reasons or problems which would preclude or restrict my activities, and I have not been advised by a qualified health professional against participating in an exercise training program, including a rigorous program for running and triathlons. I understand that the articles provided in my program are for informational use only and neither Train2Race, LLC nor its employees are licensed medical care providers and have expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition. I also understand that the Train2Race training plans are designed to enhance performance, but cannot guarantee any outcome or result of my event and/or training program. I hereby affirm that I am eighteen (18) years of age or older. I have read the document and I understand its contents. I have had an opportunity to ask questions and have them answered.
----
I agree that this acknowledgement of risk, waiver of liability and hold harmless agreement shall bind all family, heirs, assigns and personal representative and shall be deemed as a release, waiver, discharge and covenant not to sue Train2Race, LLC, its members, agents, directors, and employees. This Agreement constitutes “a writing signed by You” under any applicable law or regulation. I certify by selecting the “I Agree” option below that I have read the above statements and that I understand and agree to ALL the terms and conditions thereof without modification.

I agree to the above

Signed ___________________________ Initialed *:

Date (mm/dd/yy) *: / /

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