Athlete intake form Name First Name Last Name Email * Phone (###) ### #### What level of coaching are you interested in? * Exclusive ($650+) Price TBD Premium ($500) Choice ($350) What type of coaching are you looking for? * Cycling Endurance Sports (Other than cycling) Wellness Business Coaching Lifestyle (Starting to get active and healthy) Do you have any medical issues that would prevent you from training? Yes/No and please list * Three goals you would like to achieve * Are you allergic to any medications (Yes/No) * If yes please list. Emergency Contact * Name and Phone number Is there anything else we should know? How did you hear about us? Have you read our waiver and cancellation policy? * https://www.thechadandrews.com/policies-and-procedures Yes No Thank you!
