Paratriathlon Introductory Questionnaire
What is your full name? *
Your answer
Where do you currently reside (city/state)? *
Your answer
What is the best phone number to reach you? *
Your answer
What is your email address? *
Your answer
Date of birth? *
MM
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DD
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YYYY
Gender
Are you currently, or have been in the past, a member of the United States Armed Forces? *
Describe your impairment. *
Your answer
To the best of your knowledge, what Paratriathlon category do you believe you fall into? *
Have you been classified in another Paralympic Sport? *
If so, which sport(s)?
Your answer
Have you ever completed a triathlon/duathlon? *
What other sports have you competed in since your injury or impairment? *
Name your current triathlon coach.
Your answer
How much time are you dedicated to training per week? *
Your answer
What are your short term Paratriathlon goals? *
Your answer
What are your long term Paratriathlon goals? *
Your answer
Do you have your own Paratriathlon equipment? *
What equipment do you not have?
Your answer
Are you currently competing competitively in any other Paralympic Sport? *
Why do you want to race Paratriathlons? *
Your answer
Would you like to be added to the monthly USA Paratriathlon Newsletter? *
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