Intake Form
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Email *
General Information
This section is to learn more about who you are and who you are as an athlete. 
Full Name *
Phone Number
What is your birth date? *
MM
/
DD
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YYYY
Where are you located? *
What city are you in?
Preferred measurement of distance? *
What is your current weekly mileage? 

What else is currently involved in your training (please include any strength training/cross-training if applicable)?

What are your current Personal Best times (if applicable)? When were those time achieved?
(5km, 10km, half, full, ultra)
What is your training availability? Are there any days that don't work for you to train?
Do you respond better to tough love, handholding or somewhere in between?
Clear selection
What gets you motivated?
Has a medical professional prohibited you from partaking in physical activity in the last 12 months? *
Any current or past injuries? *
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