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To initiate a coaching program, or just send some preliminary background info, please complete and submit this form (feel free to choose "not sure" at the bottom of the page if you're not ready to commit). Answer the questions as accurately as possible and I'll get back to you ASAP for additional details. If you have questions and don't want to complete the form below, contact me through this page.

Name:

Address:
City:
State/Province:
Zip:
Country:
Age:
Phone:
email:
I'd like you to coach me in the following sport(s):
I train with a heart rate monitor:  Yes:   No: 
My dietary habits are:  Excellent:  Adequate:    Need work: 
My nutrition knowledge is:  Excellent:  Average:   Basic: 
Approximate longest training week ever (hours): 
Approximate training week currently (hours): 
Your athletic background: 
Multisport competitive history (if any): 
Number of years training in each sport:   Swim:   Bike:    Run: 
Recurring sports injuries: 
Health issues that restrict your training: 
Competitive goals:
Other comments:


››› Waiver

I am fully aware that participating in any exercise program can be a potentially dangerous, hazardous activity. I am specifically aware of the potential dangers of participating in the Tri-eCoach training programs.

In consideration of my acceptance into the Tri-eCoach training program, I, the undersigned (parent or guardian if participant is under 18 years of age) intending to be legally bound, do hereby for myself, my heirs, executors, administrators, and assigns, assume any and all risks of participating in said training programs, and I hereby waive and release any and all rights and claims for damages I my have against Steven Pyle, representatives, successors, and assigns for any and all injuries, all such risks being known and appreciated by me. I hereby waive and release the above named persons, and entities, their representatives, employees, successors, and assigns from any and all claims or liabilities of any kind arising out of my participation in said training programs, even though these claims and liabilities might arise out of the negligence or carelessness on the part of the persons named above. I attest and verify that I am physically fit and prepared for the Tri-eCoach training programs, and that a licensed medical doctor has verified my physical condition within the last six months.

I hereby assume full responsibility from any injury, including my death occurring while participating in, or as a result of, my participating in the Tri-eCoach training programs, and hereby release, waive, discharge and covenant not to sue Steven Pyle, successors, representatives, employees, assigns, or other participants in the Tri-eCoach training programs from any and all liability to me, my personal representatives, heirs, successors, and assigns for any loss or damage and claim or demands therefore on account of injury to me, including my death, whether caused by their negligence or carelessness in advising me while participating in the Tri-eCoach training programs.

You agree that this Agreement constitutes "a writing signed by You" under any applicable law or regulation.

›› I agree to the above:
  ›› Not sure, but I'd like to get more information: 

I'm ready to try out Tri-eCoach coaching!
Signed________________________________________ Initialed:    Dated: 
(signature of parent or guardian for minor)


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