Runner's Profile & Package Registration

1. Please complete the following questionnaire as completely and honestly as possible. It will help us determine the best strategy for planning your performance training.
2. Name:(*)
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3. Age:(*)
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4. Sex:(*)
   MaleFemale
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   Indicate your sex
5. Address:(*)
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   Enter your street address
6. City:(*)
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   Enter your city
7. Province:(*)
   ABBCSKMBONPQNBNLPEYTNTNUNS
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   Choose your province
8. Postal Code:(*)
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   Enter your postal code
9. Home Phone:
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   Enter your home phone number
10. Mobile Phone:
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    Enter your mobile phone number
11. Business Phone:
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    Enter your business phone number
12. email:(*)
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13. Current Marathon Run Time:
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    Enter your current full marathon run time (within the last 18 months)
14. Best Marathon Run Time:
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    Enter your best full marathon run time
15. What year?
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    What year was this from?
16. Current Half Marathon Run Time:
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    Enter your current half marathon run time (within the last 18 months)
17. Best Half Marathon Run Time:
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    Enter your best half marathon run time
18. What year?
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    What year was this from?
19. Current 10k Run Time:
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    Enter your current 10k run time (within the last 18 months)
20. Best 10k Run Time:
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    Enter your best 10k run time
21. What year?
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    What year was this from?
22. Current Running-Related Injuries:
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    List any current running-related injuries
23. History of Injuries:
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    Please provide a history of running-related injuries (anything that kept you from running for more than 1 month)
24. How many runs per week did your previous training plan include?
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25. How many runs per week did you complete, on average?
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26. How many hours/miles did you run per week during your last season of training?
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    Please answer to the best of your knowledge.
27. Did your training include training on a track?
    YesNo
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28. If yes, please incidate now many months of your season and how many times per week.
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29. Did your training include training on hills?
    YesNo
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30. If yes, please explain how they were incorporated into your training program.
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31. Did your training include strength training last season?
    YesNo
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32. If yes, please elaborate.
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33. Please describe your time available for run-related training in the upcoming training & racing season.
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34. Please list three goals for the upcoming training & racing season:
35. 1.
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36. 2.
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37. 3.
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38. Package(*)
    Gold ($270.00/mo.)Silver ($175.00/mo. + $210.00 initiation)Bronze ($115.00/mo. + $175.00 initiation)
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39. Additional Services
    Nutrition Assessment
    Group Weight Session (1 per week)
    Group Weight Sessions (2 per week)
    
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    Group workouts are included in the Gold pacakge. Silver package participants receive a 15% discount on group workouts.
40. Additional Comments:
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41. Are you sure you are human?
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