Runner Profile
Please print, fill out, sign and return your runner profile to Personal Best Running (address info below).
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Name |
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Street Address |
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City, St, and ZIP |
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Home Phone |
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Fax |
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Work Phone |
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Gender |
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Age |
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Program (Interactive or eCoaching) |
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Distance (ex. 5K, 10K, etc.) |
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Race Training For (ex. Marine Corps Marathon) |
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Primary Goal (To Finish, Time, or Other) |
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How many consistent months of training have you done this year? |
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How many MILES per week do you currently run? |
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How many DAYS per week do you currently run? |
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How far is your LONGEST run of the week? |
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How far is your AVERAGE run during the week? |
Do you include WEEKLY "SPEED WORK" in your training? (Check all that apply)
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NONE |
TEMPO RUNS |
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FARTLEK RUNS |
TRACK |
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HILLS |
OTHER |
Do you supplement your running with any CROSS TRAINING ? (Check all that apply)
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NONE |
BIKING |
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WEIGHTS |
SWIMMING |
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AEROBICS |
OTHER |
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Please describe any RUNNING INJURIES you have had, as well as any LONG LAYOFFS from running in the last 2 YEARS: |
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Please tell us about your past RUNNING EXPERIENCE(Recreational, previous marathons, H.S. or Collegiate competition, road races, no experience, etc.): |
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Please indicate your best RACE TIMES for the distances listed ( use NA for Not Applicable):
BEST WITHIN LAST 2 YEARS ALL TIME PERSONAL BEST
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BEST WITHIN LAST 2 YEARS |
ALL TIME PERSONAL BEST |
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5K |
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10K |
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10 MILE |
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½ MARATHON |
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MARATHON |
I HAVE NO RECORDED TIMES FOR ANY DISTANCES _________________
** PLEASE NOTE- The information above helps us to analyze your goals and potential, as well as set up runners in groups of equal ability. However, do not worry if you are not able to fill in much due to lack of experience. That is what we need to know!
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Please tell us of any CONCERNS or QUESTIONS you have regarding participating in ANY OF THE PERSONAL BEST PROGRAMS: |
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I ACKNOWLEDGE THAT I HAVE FILLED OUT THIS RUNNER PROFILE HONESTLY AND COMPLETELY SO THAT THE COACHES MAY DESIGN A PROGRAM FOR ME BASED UPON THE INFORMATION I HAVE PROVIDED. I PROMISE TO ABIDE BY THE DECISIONS AND RECOMMENDATIONS OF THE COACHES OF THE PERSONAL BEST MARATHON TRAINING PROGRAM RELATIVE TO MY ABILITY AND SAFETY.
Signature: __________________________________
Date: _________________________
Print Name: __________________________________
Please Return:
2. Signed and dated waiver
3. Check payable to Ron Kulik or Neil McLaughlin
PLEASE DO NOT MAKE CHECKS TO PERSONAL BEST
Mail to: Personal Best Running and Racing
P.O. BOX 8113, Reston, VA, 20195
