Triathlete Application


Are you ready to maximize your training and finally reach your performance potential?
If yes, sign up now! It's really easy. Simply complete the form below and click on the submit button at the bottom of the page. No credit card information required. Coach Jim McGehee will contact you via e-mail to set up an initial phone consultation and to answer any questions regarding the coaching service. Payment arrangements can be made at that time or you can go to the "Pay/Shop Now" page to get started sooner.

Name: Home Phone:
Address: Work Phone:
E-mail: Date of birth:
Age: Sex: Height: Weight:

For which sport do you want coaching?

Medical History Questions

Have you ever been told by a physicion that you should not exercise?
Have you ever had neck, chest shoulder or arm pain during exercise?
Do you currently have any disease/illness/disability?
Are you aware of having any medical conditions that may affect your training?
Have you had / are you having any reoccuring injuries that affect your training?

Please explain fully and "yes" answers to the questions above and list any medications you take:

Please list any current medical illness, recent injuries, recent surgery, or past medical problems. In addition please list any information that your coach should be aware of:

WAIVER: PLEASE READ CAREFULLY BEFORE SIGNING. I HEREBY ACKNOWLEDGE THAT ENDURANCE TRAINING AND RACING IS AN EXTREME TEST OF A PERSON'S PHYSICAL AND MENTAL LIMITS AND CARRIES WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY AND PROPERTY LOSS. I HEREBY ASSUME THE RISK OF PARTICIPATING IN THE TRAINING AND OTHER ACTIVITIES RECOMMENDED BY JIM MCGEHEE. I CERTIFY THAT I AM PHYSICALLY FIT, AM SUFFICIENTLY TRAINED FOR PARTICIPATION IN THIS PROGRAM AND HAVE NOT BEEN ADVISED AGAINST PARTICIPATION BY A QUALIFIED HEALTH PROFESSIONAL. I ACKNOWLEDGE THAT INFORMATION GIVEN ON THIS APPLICATION AND HISTORY FORM ARE ACCURATE AND TRUE. I ACKNOWLEDGE AND ACCEPT THE RISKS ASSOCIATED WITH ENDURANCE TRAINING. I WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL CLAIMS, LOSSES, OR LIABILITIES OF DEATH, PERSONAL INJURY, PARTIAL OR PERMANENT DISABILITY OF PROPERTY, DAMAGE, MEDICAL OR HOSPITAL BILLS, WHICH MAY IN THE FUTURE ARISE OUT OF OR RELATE TO MY PARTICIPATION IN THIS TRAINING PROGRAM. I AGREE NOT TO SUE JIM MCGEHEE OR ONE-ON-ONE ENDURANCE. I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER. I HAVE READ THE DOCUMENT AND I UNDERSTAND ITS CONTENTS WITHOUT ANY QUESTIONS.

Do you understand and agree with the above terms?
Please check this box if you accept the above agreement:

Training History

  
How many years/months have you been training on a regular basis:
Rate your current fitness level: 10 = very fit, 1 = very unfit
What do you enjoy most about your training?
What do you enjoy the least about your training?
Do you currently use a heart rate monitor during any part of your training?
Do you consciously monitor your diet?
Explain:
Are you happy with your current weight?
What do you feel is your ideal weight?
At what age were you in the best shape of your life?
What has been your longest run in the past month?
What has been your longest run in the past year?
What has been your longest ride in the past year?

 

What are your PR's in the past 3 years? (those that apply)
Running / Road Races Triathlon / Race Splits
800 meters: 800m swim:
1 mile: 1.5-K swim:
5-K: 40-K bike:
8-K: Triathlon / Total Race Time
10-K: Olympic Distance:
15-K: 1/2 Ironman:
1/2 Marathon: Ironman:
Marathon: Other:
Other:    

Which is your strongest discipline?
Which is your weakest discipline?

In how many races did you participate in over the past year?
Triathlons:
Distance running races:
Other races:


To what type of facilities do you easy access?

Good roads for running
Dirt running trails
Paved running trails
Track
Treadmill		 Swimming pool
Open water swim access
Indoor bike trainer
Roads for cycling access
Weight training facility

Other facilities available:

Have you ever had a coack for triathlon?

Ideally what do you expect from me as your coach?

Explain what factors typically contribute most to difficulty with completing your training plans?

What are your greatest strengths as an athlete?

Describe your weaknesses as an athlete:

List any important upcoming races:

Specifically discuss your goals for this season: