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Triathlon and Certified Ironman Coaching Newcastle and Northumberland

Triathlon and Certified Ironman Coaching Newcastle and Northumberland

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Coached Athlete Start Up Form

Please only complete this form having been asked by DS Coaching to do so.

If you have a general enquiry, please visit our get in touch page.

About you

First Name *
Surname *
Gender *
Date of Birth *
1st line of address *
Town/City *
Postcode *
Contact Phone Number *
Email *
Are you happy for us to use your email address and mobile phone number to contact you? *
YesNo

Medical and Specific Needs

Please provide details of any medical conditions or current medications that we or anyone providing medical care needs to be aware of
Please provide details of any special needs or conditions that we should be aware of and what support/modifications are needed
Do you consent to receive medical treatment if necessary? *
YesNo

Please outline your current ability and what you want to get from a coached training plan

Previous experience in triathlon disciplines (Swim, Bike and Run) *
Current ability - e.g. times for swim bike run distances if known *
Why are you wanting to be coached? What would you like to achieve? *
What's the maximum number of hours you can devote to training per week? *
Training Times
Please indicate times when you are normally able to train (use the text box below to provide more explanation)Mon AMMon PMMon EveningTues AMTues PMTues EveningWed AMWed PMWed EveningThu AMThu PMThu EveningFri AMFri PMFri EveningSat AMSat PMSat EveningSun AMSun PMSun Evening
Please detail any other specific information that you think is relevant to being coached by us

Verification

Please enter any two digits *Example: 12
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