1:1 Coaching Consult Interest Form for Runners
If you are serious about taking your goal setting and training to the next level, start by filling out the form below.
Sign in to Google to save your progress. Learn more
Email *
FULL NAME
(first and last)
 *
Personal Email Address:
(this will only be used to correspond if and when services are provided)
 *
Phone Number
(this will only be used for consult services)
Age *
Do You Have Any Previous Injuries that Might Affect Your Ability to Train? (Optional)
Goal Distance You Want to Train For: *
Are You Training for a Specific Race?  If yes, please list below: *
Intended Date of Race / Completion of Training:
(I currently am only offering customized training calendar development consults for distances up to FULL MARATHON)
 *
MM
/
DD
/
YYYY
Where Do You Live?  
(If large city (i.e. Dallas), please include directional location (i.e. northwest Dallas)
 *
Summary of Coaching Services: *
Captionless Image
What TIMEFRAME are You Most Interested in (I may make an alternative suggestion during consults) For Your Training Calendar? (standard is 16 weeks, but I can customize to your preferences) *
Will You Primarily Train on Pavement, Trails, or Both? *
How Often Do You Currently Run Each Week? *
What is Your Current Longest Distance? *
How Far are You Willing To Travel for Weekly Training Runs? *
What Are You Currently Utilizing for Cross Training? *
Required
How Often Do You Currently Cross Train? *
Do You Have Any Dietary Restrictions or Preferences?
(this information is necessary to help guide fueling recommendations)
 *
Do you Have Specific Concerns or Questions about Your Training Plan?
Is There Any Additional Information You Would Like to Provide to Better Help Me Customize a Plan for You?
Which Recommended Gear Items Have You Already Attained?

 *
Required
Do you prefer ZOOM or phone consults? *
Disclaimers:
ARE YOU AWARE THAT PAYMENT IS REQUIRED UP FRONT AND IS NOT REFUNDABLE UPON DELIVERY OF SERVICE?
 *
Disclaimers:
ARE YOU AWARE THAT THESE SERVICES ARE NOT INTENDED AS PROFESSIONAL MEDICAL ADVICE, AND THAT YOU ARE PERSONALLY RESPONSIBLE TO DETERMINE WHETHER YOU ARE PHYSICALLY ABLE TO PARTICIPATE IN A TRAINING PLAN?
 *
Disclaimers:
DO YOU AGREE THAT ALL ENTITIES RELATED TO YONDERLUST RAMBLINGS ARE NOT TO BE HELD LIABLE FOR ANYTHING THAT HAPPENS TO A CLIENT WHILE PARTICIPATING IN A TRAINING PLAN, AND YOU ARE SOLELY RESPONSIBLE FOR YOUR SAFETY?
 *
Disclaimers:
DO YOU AGREE THAT ALL SUPPORT SERVICES OFFERED ARE PART OF A TRAINING PLAN AND DO NOT GUARANTEE A SUCCESSFUL COMPLETION OF ANY INTENDED RACES/EVENTS?
 *
*Any services paid for and rendered are solely between myself and you, the client.  If an additional companion(s) would like to join a ZOOM consult or phone consult, an additional $20 per individual will be due prior, per consult.   *
Disclaimers:
ARE YOU AWARE THAT ANY RESPONSE OF "DISAGREE" TO THE ABOVE DISCLAIMERS WILL RESULT IN AN INABILTY TO PROCEED FURTHER?
(Please type YES)
 *
Thanks for hanging in there!  Are you ready to schedule?  You can use the LINK BELOW to SCHEDULE your consult.  You will receive a confirmation email of your selected time and date, as well as a link to payment.  If you have any questions about scheduling, please let me know below. *
How Did You Hear About Me?
In an effort to ensure the most convenient accessibility, I always love to get feedback on how you found my coaching plans!
Clear selection
Thank you for your interest, and I look forward to helping you reach your training goals! We'll be in touch soon!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms