Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone (cell phone if possible)*Email* Enter Email Confirm Email Age and Date of Birth*Weight*Height*Emergency Contact: Name/Relation/Phone*Please list your top three goals*Please list key past races, dates, results*Please list your planned races for the upcoming season*What does your typical training week look like right now?*Please outline any special workout scheduling needs. This could be required days off from training, number of hours available to train each week, best days to do longer bike or run workouts, etc.*Please describe your current swim, bike and run workouts. Include your longest workouts (in # of hours, ie "ran 90 minutes"), and how many times per week you are doing swim, bike and run workouts.*Please describe your current strength training routine and frequency*Do you have a heart rate monitor watch? If so, what brand/model (ie. Garmin, 935).*Are you having any issues or discomfort with your bike? Were you professionally fitted to the bike and if so, by who?*When did you last purchase run shoes? About how many run miles on them?*Do you have a Training Peaks account?*YesNoIf so, we'll link that to your new coach. If not, we'll create an account for you!Medical History. Please check any that apply to you Fainting, dizzy or unusually winded after exercise Coronary artery disease. High LDL cholesterol High blood pressure Chest, shoulder, neck or arm pain after exercise Diabetes, thyroid or chronic conditions Asthma or wheezing Prescription medicines Any condition that your doctor says limits your exercise Joint, back or any current injury Any other important medical issues to share? If you selected any of the above medical conditions, please provide additional detail below:Please review the ET Client Expectation Terms. Click here to view the Client Expectations documentI have reviewed and agree to the ET Client Expectations Terms*YesNo, I do not agreePlease review the ET Waiver and Release. Click here to view the waiver and release documentI have reviewed and agree to the ET Waiver and Release*YesNo, I do not agree ET Start Up Document Version 15. Copyright 2018