Coaching Registration

Thanks for showing your interest in our coaching program. Please complete the questions below so we can get a better understanding of your goals.

Once we have this information we will get hold of you within 24 hours, give you the ability to select your coach and start training!

Name *

First Name Last Name

Gender

Male Female

E-mail *

Phone Number *

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

DoB

Day Month Year

What discipline are you training for? (you can have more than one!)

Road MTB Triathlon

LTHR

FTP

When last did you do an FTP test and which equipment did you use?

Average Hours a week you currently have to train

Do you have a Training Peaks account?

Yes No

Have you ever been coached before? If yes, by whom and why did you stop using there services?

What do you see as your strengths?

What do you see as your weakness?

What equipment do you currently have? (Road bikes, MTB bikes, Garmin, rollers etc)

Do you have an indoor trainer (if yes, what make?)

Which are your key A priority events and your goal for each of these?

Besides doing well, what else are you aiming for from a structured training program?

Anything you think may be of importance that you would like to attach (past tests or reports etc)

There is inherent risk of injury, whether caused by me or someone else, while participating in endurance sports training and in the use of or presence at a pain.cave training centre, the use of pain.cave’s equipment and services, and participation in this or any other pain.cave programs. I understand that sports training and endurance is an extreme test of a person’s physical and mental limits and carries with it the potential of for death or serious injury. This risk includes, but is not limited to (a) injuries arising from the use of any of the pain.cave centres or equipment, including any accidental or “slip and fall: injuries; (b) injuries arising from participation in supervised or unsupervised activities and programs within a pain.cave centre, to the extent sponsored or endorsed by pain.cave; (c) injuries arising from participation in supervised or unsupervised activities and programs recommended by a pain.cave endurance coach; (d) injuries or medical disorders resulting from exercise at a pain.cave centre, including, but not limited to heart attacks, strokes, heart stress, sprains, broken bones and torn muscles or ligaments; and (e) injuries resulting from the action taken or decisions made regarding medical or survival procedures.

I understand and voluntarily accept this risk, I agree to specifically assume all risk of injury, whether physical or mental, as well as all risk of loss, theft or damage of personal property while I am participating in this or any other pain.cave program, using or present at any pain.cave centre, using any lockers, equipment or services at any pain.cave centre or participating in pain.cave programs, whether such programs take place inside or outside of a pain.cave center. I waive any and all claims or actions that may arise against pain.cave, its parent companies, affiliates, subsidiaries, successors, assigns, independent contractors and agents as well as each party’s owners, directors, employees or volunteers as a result of any such injury, loss, theft or damage, including and without limitation, personal, bodily or mental injury, economic loss or any damage resulting from the negligence of pain.cave operations, its parent companies, affiliates, subsidiaries, successors, assigns, agents, independent contractors or anyone else using a pain.cave center.

By pressing submit I accept the above

Coaching Registration - PainCave

Personal Details

Coaching Information

Goals

Indemnity