First name(required) Surname(required) Gender(required) Date of birth(required) Address(required) Postcode(required) Email(required) Phone(required) Triathlon Club (if applicable) Emergency contact name(required) Emergency contact relationship to you(required) Emergency contact mobile number(required) Emergency contact home / work number Please give details of any medical or health conditions that might affect your participation in triathlon and what support/modifications are needed (if none, type 'none' or 'n/a')(required) Please list any medications you take on a regular basis.(required) Please give details of any specific needs that the coach should be aware of and what support/modifications are needed.(required) How many years have you been training in each, swimming; cycling; and running?(required) What past race performances are you proud of (please give dates, race distances/formats and times)?(required) What are your goals for the coming season?(required) How many hours per week do you train in swim / bike / run / other (e.g. strength and conditioning)? Please provide a breakdown. (required) What training aids do you have (e.g. heart rate monitor, turbo trainer, power meter, pull buoy, swim fins etc)?(required) What training machines do you have or have access to (e.g. indoor/spin bike, treadmill, weight training equipment)?(required) What draws you to triathlon/multisport? Why do you lace up your running shoes on cold, wet days?(required) Any other comments you would like to add? Submit Δ
