Swim Coaching Application
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Name *
Age *
Phone Number *
Email *
Goals
What are your goals in working with a coach?
What are your short- midterm goals in swim?
What are your long-term goals in swim?
Do you have any races planned? If so, which ones and when?
Current Fitness
Tell me about your swim training (background, how often you swim, and training paces if known)
Health History
Current Medical Conditions
Prescription Medications Taken
Sports or Training Related Injuries in the Past
Additional Health Concerns that could impact training
What motivates you to train and race?
What is your availability for a lesson? Note: Sessions scheduled on weekday nights & weekends only. 
How did you hear about Energy Lab Coaching (so we can thank referrals) *
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