Returning Athlete – Coaching Sign Up Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone Numbers*specify type cell, home, work etcBest time to reach youEmail* Preferred Contact Method*PhoneEmailEitherDate to start training program* Date Format: MM slash DD slash YYYY Current Athletic InformationList your goal races with dates and priority*A - goal race (1-2 at most) B - meaningful race C - training raceRace NameRace DatePriority (A/B/C) List your 3 most important goals*Goal 1Goal 2Goal 3At the completion of our season, how will we know if we were successful*What is the single most important thing we must accomplish*How many hours would you consider to be a BIG WEEK*How many weekly hours do you have available to train*Please enter a number from 0 to 40.Do you require Swim Training as part of your program?*Choose yes if you are signing up for triathlon or swim coaching.YesNoWhere do you plan to swim*Which days do you prefer to swim (select at least 3)* Monday Tuesday Wednesday Thursday Friday Saturday Sunday If pool swim, what sizeDo you swim with a group regularly*YesNoWhich group*Do you belong to any running groups*YesNoWhich group*Preferred day off from training*MondayTuesdayWednesdayThursdayFridaySaturdaySundayI prefer active recoveryList the type of equipment you ownBikeBike TrainerPower MeterGPS deviceHeart Rate MonitorSwim paddles / finsRun ShoesWetsuitIf you have any injuries, please list them here.Additional questions or commentsRelease Form In consideration of being coached in an endurance sport program by Transition Myself Training, I do hereby waive, release, and forever discharge Transition Myself Training, and all employees and associates of Transition Myself Training, including but not limited to Chris Pickering, of all responsibility or liability from injuries or damage resulting from my participation in any activities or program. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Transition Myself Training.* I understand and am aware that the program given to me from Transition Myself Training, including the use of equipment, involves a risk of injury, and that I am voluntarily participating in the program and using my equipment with knowledge of the dangers involved. I here by agree to expressly assume and accept any and all risk of injury. * I do hereby further declare myself to be physically sound and suffering from no medical condition, impairment, disease, infirmity, or illness that would prevent my participation in any physical exercise program. Nor am I prevented, for any reason, from the use of exercise equipment or machinery except as may be noted hereinafter. * I do hereby acknowledge that I have consulted with my physician regarding my intention to participate in a Transition Myself Training program. The only restrictions I have respecting my ability to participate in this program are as followsToday's Date* MM DD YYYY Full Name (Digital Signature)*Signature* Δ