Paddling Athlete Profile Form

The information supplied will be kept strictly confidential and will be only used to assist your coach to better custom design your personal training program.

General Information

Today's Date (dd-mm-yyyy) *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

-

Work Phone Number *

-

Cell Phone Number *

-

Email *

Date of Birth (dd-mm-yyyy) *

Age *

Sex *

female male

Weight (lbs) *

Height (ft/inches) *

Unisex Shirt Size (xs, s, m, l, xl, xxl) *

Occupation *

Medical Information

Are you in good enough health to undertake this training program? *

Yes No

If the answer to the previous question is "No", would you be able to get a doctor's note of medical clearance? *

Yes No N/A

Please list any medical conditions or injuries (previous and current) that we should be aware of: *

When did you last have a full medical checkup? *

Athletic Background

What is your athletic background, high school/college/post-college? *

What racing or training have you been doing in the last 3 years? *

Paddling Background

How long have you been involved in paddling? *

What craft do you most often paddle? (OC1, OC6, Surfski, Kayak, etc.) *

Strengths and Weaknesses

Describe your athletic strengths (i.e. Speed, endurance, training consistency, motivation, etc. *

Describe any athletic weaknesses (i.e. Speed, endurance, injury prone, etc.) *

What areas of paddling do you want to work on the most? *

What areas of paddling do you NOT want to work on? (if any!) *

Your Equipment/Facilities

Do you have access to a personal paddling craft? *

yes no

Do you have access to a club paddling facility? *

yes no

Do you have access to a heart rate monitor? *

yes no

Do you have access to a gym/weightlifting facility? *

yes no

Current Training Volumes

Please describe your current weekly workout schedule (number, type and duration of workouts) *

Goal Setting

Please list your TOP PRIORITY races you would like to do next season (NO MORE THAN 2) *

Please list your SECOND PRIORITY races you would like to do next season (NO MORE THAN 3) *

Submit