Smart Athlete Client Intake Form
Check out www.smartathlete.ca for details on coaching and training plans

Collecting Data to help build your training better and ensure nothing has changed

Not required for Bike Skill Sessions

* leave things blank if not applicable*

Email address *
First and Last Name *
Your answer
Mailing Address with city/region/country *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Height *
Your answer
Weight
Your answer
Phone Number *
Your answer
I do not have a Heart Condition, or other conditions that would limit my ability to exercise. *
I answered NO to all Par-Q Questions ? *
Captionless Image
Required
How Did You Hear About Smart Athlete?
ad? magazine article? at a race ? a Friend ? *** note smart athlete clients get a referral bonus so give them credit ***
Your answer
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