ATHLETE INTEREST FORM

Please fill out the interest form for elite professional guidance.

First name

Last name

Email

Social Media @

Address

Phone

Gender

Male

Female

General Profile Information

Height

Weight

Birthday

Month

Day

Year

Long Run Workout Day

Saturday

Sunday

This information is confidential, however it will support the coaches' knowledge for your athletic development. It will not be counted against your goals as a Machine Athletics participant.

Please explain your training or running history. In other words, please provide a detailed overview of your typical training routine and style that you have done.

Personal Best(s): Please outline your personal best performance. Include: The race, official time, and date.

Are you 18 years of age, or older?

Yes

No

Do you have health insurance or HSA/FSA?

Yes

No

What type of coaching are you interested in?

In-person Professional coaching

Virtual Professional Coaching

Just a training plan

What is your budget for professional Coaching

$0-100/Month

$100-$200/Month

$250-$350 Month

N/A

When are you ready to begin

Immediately

2-4 Weeks

1-2 Months

Just exploring

Have you ever had a coach before?

Yes

No

What race(s) are you registered for (if none yet, put none)?

What are your specific goals with running?

Please explain your medical history. Please include any related or known medical conditions, such as asthma, high blood pressure, or any other relevant medical records. Your details will remain confidential.

How can a coach support you? Please share any key benefits or reasons that have motivated you to pursue this path with Machine Athletics.

By filling out this interest form, I acknowledge that I have read and understood it is the first step to pursue professional coaching through the Machine Athletics program to further my athletic goals.