Forms — TRIUMPH COACHING

Digital Versions

Strength Training Waiver

I acknowledge that participating in a fitness activity related to strength training are a test of a person’s physical and mental limits and such training or participation poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF TRAINING FOR AND PARTICIPATING IN SUCH ACTIVITIES AND EVENTS and agree to the following: Alison Headley of TRIumph Coaching LLC has offered to supply me with training plans and coaching advice to assist me with the improvement of my fitness and to support me in attaining my athletic goals. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or TRIumph Coaching responsible for any injury, accident, medical condition, damage or death that may result from my training. I am doing this voluntarily and recognize the inherent risks in any type of strength training.

Electronic Signature

Typing your full name in the box below constitutes your electronic signature, which has the same legal effect, validity, and enforceability as a manually executed signature on paper.

Today's Date

YYYY

Athlete Waiver

I acknowledge that training and/or participating in a fitness activity related to triathlon, running, cycling, swimming, and strength training are an extreme test of a person’s physical and mental limits and such training or participation poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF TRAINING FOR AND PARTICIPATING IN SUCH ACTIVITIES AND EVENTS and agree to the following: Alison Headley of TRIumph Coaching LLC has offered to supply me with training plans and coaching advice to assist me with the improvement of my fitness and to support me in attaining my athletic goals. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or Triumph Coaching responsible for any injury, accident, medical condition, damage or death that may result from my training or racing. I am doing this voluntarily and recognize the inherent risks in any type of triathlon training/racing.

Electronic Signature

Typing your full name in the box below constitutes your electronic signature, which has the same legal effect, validity, and enforceability as a manually executed signature on paper.

First Name

Last Name

Today's Date

YYYY

Athlete Waiver - Coach Katy

Message

I acknowledge that training and/or participating in a fitness activity related to triathlon, running, cycling, swimming, and strength training are an extreme test of a person’s physical and mental limits and such training or participation poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF TRAINING FOR AND PARTICIPATING IN SUCH ACTIVITIES AND EVENTS and agree to the following: Katy Walmsley of Coach Katy Training has offered to supply me with training plans and coaching advice to assist me with the improvement of my fitness and to support me in attaining my athletic goals. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Katy Walmsley, Coach Katy Training or Triumph Coaching responsible for any injury, accident, medical condition, damage or death that may result from my training or racing. I am doing this voluntarily and recognize the inherent risks in any type of triathlon training/racing.

Electronic Signature

First Name

Last Name

Date

YYYY

Swim Clinic Waiver

I acknowledge that swimming is a test of a person’s physical and mental limits and poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF PARTICIPATION IN THE SWIM CLINICS FOR TEAM TRIUMPH ON [Date of Clinic] and agree to the following: Alison Headley of TRIumph Coaching LLC has offered to conduct a swim clinic to assist me with the improvement of my swim stroke. I have voluntarily signed up for this with the understanding of the safety risks involved in swimming. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or Triumph Coaching responsible for any injury, accident, medical condition, damage, or death that may result from this swim clinic. I am doing this voluntarily and recognize the inherent risks in swimming and any type of triathlon training.

Date of Clinic

If multiple days, input date of first session.

YYYY

Electronic Signature

Typing your full name in the box below constitutes your electronic signature, which has the same legal effect, validity, and enforceability as a manually executed signature on paper.

First Name

Last Name

Today's Date

YYYY

Bike Clinic Waiver - Coach Ali

I acknowledge that biking is a test of a person’s physical and mental limits and poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF PARTICIPATION IN THE BIKE CLINIC FOR TEAM TRIUMPH ON [Date of Clinic] and agree to the following: Alison Headley of TRIumph Coaching LLC has offered to conduct a bike clinic to assist me with the improvement of my bike riding and handling skills. I have voluntarily signed up for this with the understanding of the safety risks involved in cycling. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or Triumph Coaching responsible for any injury, accident, medical condition, damage, or death that may result from this cycling clinic. I am doing this voluntarily and recognize the inherent risks in biking and any type of triathlon training.

Date of Clinic

If multiple days, input date of first session.

YYYY

Electronic Signature

Typing your full name in the box below constitutes your electronic signature, which has the same legal effect, validity, and enforceability as a manually executed signature on paper.

First Name

Last Name

Today's Date

YYYY

Bike Clinic - Coach Katy

I acknowledge that biking is a test of a person’s physical and mental limits and poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF PARTICIPATION IN THE BIKE CLINIC FOR TEAM TRIUMPH ON [Date of Clinic] and agree to the following: Katy Walmsley of Coach Katy Training LLC has offered to conduct a bike clinic to assist me with the improvement of my bike riding and handling skills. I have voluntarily signed up for this with the understanding of the safety risks involved in cycling. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Katy Walmsley, Coach Katy Training, Alison Headley or TRIumph Coaching responsible for any injury, accident, medical condition, damage, or death that may result from this cycling clinic. I am doing this voluntarily and recognize the inherent risks in biking and any type of triathlon training.

Date of Clinic

If multiple dates, put first date.

YYYY

Electronic Signature

First Name

Last Name

Today's Date

YYYY

Run Clinic Waiver - Coach Ali

I acknowledge that running is a test of a person’s physical and mental limits and poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF PARTICIPATION IN THE RUNNING CLINIC(S) FOR TEAM TRIUMPH ON [Date of Clinic] and agree to the following: Alison Headley of TRIumph Coaching LLC has offered to conduct a running clinic to assist me with the improvement of my running form. I have voluntarily signed up for this with the understanding of the safety risks involved in running. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or Triumph Coaching responsible for any injury, accident, medical condition, damage, or death that may result from this running clinic. I am doing this voluntarily and recognize the inherent risks in running and any type of triathlon training.

Date of Clinic

If multiple days, input date of first session.

YYYY

Electronic Signature

Typing your full name in the box below constitutes your electronic signature, which has the same legal effect, validity, and enforceability as a manually executed signature on paper.

First Name

Last Name

Today's Date

YYYY

Run Clinic Waiver - Coach Katy

Text

I acknowledge that running is a test of a person’s physical and mental limits and poses risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISK OF PARTICIPATION IN THE RUNNING CLINIC(S) FOR TEAM TRIUMPH ON [Date of Clinic] and agree to the following: Katy Walmsley has offered to conduct a running clinic to assist me with the improvement of my running form. I have voluntarily signed up for this with the understanding of the safety risks involved in running. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Katy Walmsley, Coach Katy Training, or Triumph Coaching responsible for any injury, accident, medical condition, damage, or death that may result from this running clinic. I am doing this voluntarily and recognize the inherent risks in running and any type of triathlon training.

Electronic Signature Name

First Name

Last Name

Date

YYYY

Athlete Questionnaire (all athletes)

The following information will help me get to know you better as an athlete and a person. It will allow me to better individualize your training to your specific needs and goals. All responses are kept confidential. Thank you for taking the time to provide this information.

Name

First Name

Last Name

Home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best phone number to reach you

(###)

###

####

Date of Birth

YYYY

General background

Occupation (if applicable), marital status, children

Height

Weight (lbs)

Ideal weight (lbs)

Hours of sleep (average)

Ideal hours of sleep

Females only

Date of last period (if applicable)

YYYY

Are your periods regular?

Approximate number of days for your cycle (if applicable)

Do you notice a difference in your energy levels at different times of the month?

Athletic background

How would you describe yourself as an athlete? Did you grow up participating in any sports?

How long have you been doing triathlons/swimming/biking/running (if ever)?

Coaching background

Have you ever worked with a strength & conditioning coach or personal trainer in the past? If so, when? What were the areas of focus?

Do you do any regular type of stretching, yoga, or foam rolling?

Other sports you regularly participate in:

Training background

Please give me an idea of what you’ve been doing as far as a typical week of training for you in the past three months (number of days per week, activity, minutes, intensity). Please note that it is OK if you haven’t been training much - that’s where I come into the picture :)

Past races you have participated in

Please provide the year and your finish time (which are often available on Athlinks.com, or can be found by searching your name and the race name and date (e.g. "Alison Headley, Steelman Triathlon race results 2017")

Planned races

What races have you signed up for or plan to do in the coming year? Please provide names & dates

Strengths and Weaknesses

What do you believe are your strengths and weaknesses in the 3 disciplines (swim, bike and run)? What area do you like the best? The worst?

Time commitment

How much time do you have to commit to training on a daily/weekly basis? It’s helpful if you share your work or family schedule (if applicable), any days of the week that are particularly difficult for you to train, and also days you might have more time for longer training. Obviously your schedule may vary somewhat week to week, but you can communicate any constraints, commitments, vacations, etc. to me as you know them.

Physical concerns

Injuries or concerns that you have (can also be something you think you are susceptible to, problems in the past, or any issues you are currently dealing with) ? Any prior sports related surgeries?

Have you seen a physical therapist/chiropractor in the past or currently?

Medical issues

Any non-injury medical issues I should be aware of, including medications

When was the last time you had a physical?

Gym membership

Are you a member of a gym? Does it have a pool? Which gym?

Tri club membership

Are you a member of a tri club? If so, which one?

Do you have partners that you train with regularly or do you prefer to work out on your own?

What equipment to do you have?

Relevant equipment (note, these are not necessary, but they are relevant to my recommendations for you): Road Bike Tri Bike Other Bike (what kind?) Trainer (what kind?) Clip-in pedals Aero helmet Treadmill Wetsuit Swim Fins Pull Buoy Triathlon or Sports Watch (what type?) Heart Rate Monitor Power Meter Free weights

What are your goals for yourself as an athlete?

Nutrition

How does nutrition fit into your athletic goals (e.g., “It is what it is”, “I train to eat”, “I eat to train” or something else?) Are you interested in learning more about eating a nutrient dense diet?

What you need out of a coach

Overall, how can I best help you? In other words, what do you think a coach can give you that you can’t do for yourself?

Anything else you want to add:

Ironman athletes only

What was your primary motivation in signing up for an Ironman?

Potential answers: bucket list, achieve a PR, challenge oneself, always wanted to do one, FINISH, qualify for Kona

Is your family supportive of your goals? Explain.

Have you ever participated in:

An Ironman

Half Ironman

Marathon

Half Marathon

Olympic Tri

Sprint Tri

Fondo or century ride

Have you participated in an endurance event not in the list above? (List name)

Have you used Heart Rate Training previously?

Are you currently linked onto Garmin Connect or Strava?

If you have done past endurance races, how has your stomach tolerated “race” fluids & nutrition (e.g., Gatorade, Gels, bananas etc)? Would you say you have a strong stomach, a sensitive stomach or something in between?

Mental fitness

How would you describe your "mental fitness?" Any worries or areas where I can give you specific support?

Swim Waiver

PLEASE READ CAREFULLY BEFORE SIGNING. I acknowledge that training and/or participating in swimming is a test of a person’s physical and mental limits and such training or participation poses risks of serious bodily injury or death. Furthermore, I understand that there are absolutely no guarantees that I won’t contract COVID-19 as a result of my decision to swim in Coach Headley's pool. While Coach Headley is fully vaccinated and COVID-19 is not believed to be transmittable in chlorinated pools and while measures will be taken by Coach Headley to appropriately social distance during my swim lesson, I HEREBY ASSUME ALL RISKS OF TRAINING FOR AND PARTICIPATING IN SUCH ACTIVITY AND POTENTIAL EXPOSURE TO COVID-19 and agree to the following: I have hired Alison Headley of TRIumph Coaching LLC to provide me/my child(ren) with swim lessons at her backyard pool. I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and furthermore, that the licensed medical doctor has been advised that I intend to participate in these activities. I agree that I will not hold Alison Headley or TRIumph Coaching responsible for any injury, accident, medical condition, damage or death that may result from my/my child’s lesson, training or racing. I am doing this voluntarily and recognize the inherent risks in my decision.

Adult Name

Adult swimmer or parent of child name

First Name

Last Name

Child #1 Name

Name of Child #1 Swimmer

First Name

Last Name

Child #2 Name

Name of Child #2 Swimmer

First Name

Last Name