Personal Training 

 

 

 

 

IDENTIFICATION:

    

 

NAME:

 

 

SEX:   M  - F

 

BORN DATE:   dd-mm-aa

 

 

ADRESS:

             CITY:   

             POSTAL CODE: 

             COUNTRY: 

(REQUIRED FIELD TO RECEIVE NORMAL MAIL FROM US )

 

EMAIL: 

             PHONE: 

 

 

 

TECNICAL INFORMATION:    

 

 

 

SIZE:    ( in cm's )

             WEIGHT:    ( without decimals )

 

 

NORMAL HEART BEATS: 

 

 

TIME IN 1000 METERS  :   Minutes    Seconds    

             TIME IN 10000 METERS:  Hours Minutes Seconds

 

 

DAYS OF THE WEEK, THAT YOU COULD TRAIN:

             Monday Tuesday Wednesday Thursday Friday Saturday

             Sunday

 

 

WANT TO, OR DO BIDIARY TRAINS

             0 1   2   3 4 5 6 7        

       

CLINIC INFORMATION:  ( recent injuries, diseases, other )

 

OBJECTIVES: ( indicating, racing type, distance, date,  etc )  

 

 

SPORT SELF HISTORY: ( races done, times, dates, etc )  

 

 

SPECIFIC TRAINING:  ( what field type, you can use)

            Road Dirty road Tartan Cinder Grass  

            Beach Woods Dune Closed area Mountain