BLEST Coaching Entry Form
NOTE: If you are signing up for the Blevins/Campbell/Rice program be aware that it starts MARCH 21, 2016 so you can pay closer to the start date (but at least by March 18th).
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Full Name *
E-mail *
How did you find out about BLEST guided programming (if you were referred by a specific person please list their full name below)? *
Have you used RPE based training before? If so how long? *
Average weekly squat volume (just write the final total number WITHOUT lbs or kg ex. 12500)
Average weekly bench volume (just write the final total number WITHOUT lbs or kg ex. 15000)
Average weekly deadlift volume (just write the final total number WITHOUT lbs or kg ex. 8000)
Do you use LBS or KG *
Guided programming is intended to help you build strength and is run in 5 week blocks. This means you should start only if you are 8 or more weeks out from a meet or test day. Are you more than 8 weeks out? *
How long until your next test or meet? *
How many days per week do you want (or are able) to train [I advise 4 days for the off season and 3 for the in season, select default if that is what you want] *
Squat Max *
Bench Max *
Deadlift Max *
Competition Form of Squat *
Competition Form of Bench *
Competition form of Deadlift *
Where do you miss your squats? *
Where do you miss your bench? *
Where do you miss your deadlift? *
Have you paid for the appropriate option (if not then pay for it at this page but be sure to choose the right option- http://www.blestcoaching.com/#!price-list/c22lz)? If you are signing up for the Blevins/Campbell group programming that will start March 21st I want you to pay between March 15th and March 18th. If you pay early the subscription may renew up to 2 times before we even start. *
All custom programs are for the use of the customers of BLEST and are not to be resold on the internet or used to coach other individuals. The programs are not to be posted online in any form and are the intellectual property of the owner of BLEST. Do accept these terms?
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Assumption of Risk, Release, Waiver of Liability and Indemnification:   1. Purpose and Effect: The purpose of this release is that Client and related persons, as defined below, waive any claims against BLEST and its employees, independent contractors, or agents arising from the use of any of BLEST's services whatsoever or from mere use of BLEST's training services. The effect of this release is that Client gives up the entire right to claim that someone other than Client may be held responsible for any injury which Client incurs as the result of BLEST's training services.  2. Assumption of Risk & Release: Use of BLEST's training services naturally involves the risk of harm to Client from any potential cause due to the nature of strength and resistance training; even when the lifts are performed with good form injury is always a possibility. Because of the nature of strength training the Client voluntarily accepts this entire risk. Client agrees that BLEST will not be liable for any injury, including, without limit, personal, bodily or mental injury, any economic loss or any damage to Client resulting from the negligence of BLEST, its employees, independent contractors or agents.  3. Defense and Indemnification: If there is any claim by anyone arising from any injury, loss, or damage described above which involves Client or anyone to whom Client may have provided information regarding BLEST's training services, Client agrees to (a) defend BLEST against such claims and pay BLEST for all expenses arising from the claim and (b) indemnify BLEST for all liability to Client or anyone to whom Client may have provided information regarding BLEST's training services resulting from such claims. 4. Medical Release BLEST advises that all applicants seek out medical clearance from a Doctor before starting any BLEST program. Because of the nature of online coaching BLEST employees are not available to check and/or clear clients to start programs. By sending out a program and offering online support BLEST is not stating that the client is fit to use it, the client assumes sole responsibility for their health and preparedness and by applying for coaching is stating that they are fit to start a program. (Sign below - type full name)
Is there any other information you want to share that is not covered in this questionnaire?
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