Please select your preferred days for your session (Check all that apply).
A representative from Mid-Atlantic Multisport will contact you to schedule the exact day and time for your session.
Please list your personal best times at each of the following distances in which you have competed. Don't worry if you haven't raced these distances or don't remember your times! Please include the date.
Please specify whether yards/meters, long course/short course, with/without wetsuit, and whether completed as a single-event or part of a triathlon.
On average, how much do you currently train in a typical week?
What has been your longest training session (time and/or distance) in each of the following disciplines over the past two months?
What size pool(s) can you train in regularly?
Where can you run regularly?
Where can you ride regularly?
What type(s) of indoor trainers do you have available for cycling?
What type(s) of terrain do you have available for training?
What strength training equipment do you have available?
Please list the events in which you plan to compete over the next 12 months along with a priority ranking (A-highest priority/D -lowest priority) and your realistic goals for each.
Rate your ability in each discipline relative to your peers on a scale from 1(worst) to 5(best):
Please be sure to consult your physician before starting this or any exercise or training program.
I agree to the following Waiver and Release of Liability and Indemnification (“Release”) as a condition to enrollment as a participant (“Participant”) in the testing, analysis and coaching services (“Coaching & Training Program”) offered by Mid-Atlantic Multisport, LLC (“MID-ATLANTIC MULTISPORT”). By clicking to agree, I, as the Participant, expressly understand, assume and consent to all the terms, conditions and risks set forth herein.
I expressly understand and agree that the Coaching & Training Program provided by MID-ATLANTIC MULTISPORT involves a variety of activities requiring intense physical activity facilitated by an employee, contractor or agent of MID-ATLANTIC MULTISPORT.
I hereby represent that I have carefully read and fully understand the contents of this Release and that this Release is legally binding and enforceable, and that I agree to the terms and conditions of this Release.
Mid-Atlantic Multisport, LLC
P.O. Box 1414
Malvern, PA 19355
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