RUN717 Questionnaire
This form provides RUN717 with background information. Please sign the waiver at the end.
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Email *
First and Last Name
City and State (or Country if applicable)  
Phone Number, with area code
List birthdate.
What will you use to track your runs? Please list make and model of watch. If you don't have a smart watch, let me know that (we can use your phone).
Do you have any running experience? If so, please explain.
Do you have any limitations? (Physical limitations, disabilities, injuries)
What is your current running schedule? Let me know which days you run versus rest as well as any fitness classes.
What is your running goal? It's ok if you don't know the answer to this yet. If you have a specific race or time goal, please elaborate.
Is there anything else you are looking for in a coach?
How did you hear about RUN717 Coaching?
If you are on instagram, please share your handle.
I know that running is a potentially hazardous activity. I should not run unless I am medically able and properly trained. I assume all risks associated with running, including, but not limited to, falls, contact with other individuals, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my payment, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, waive and release any and all coaches, their representatives and successors, from all claims or liability for death, personal injury, or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating whether same be caused by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. *
Please electronically sign waiver below.
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