Athlete Registration and Questionnaire

Personal Information
Name:
Address:
Email:
Confirm Email:
Home Phone:
Work Phone:
Cell Phone:
Best method of Contact:
Occupation:
Date of Birth:

Marital Status: Single Married Domestic Partner
Children (include time and approximate date) Yes No
If yes, how many and ages.

Do you currently have a Training Peaks account?
Yes No

Experience Level
Years training & competing in triathlon >1 2-3 3-45 years+
Sprint Triathlons completed 1-2 3-4 5-6 7-10 11+   
Best Time
Olympic Triathlons completed 1-2 3-4 5-6 7-10 11+
Best Time
Half Ironman Triathlons completed 1-2 3-4 5-6 7-10 11+
Best Time
Ironman Triathlons completed None 12 3 4+
Best Time

Swimming Information
(include time and approximate date)
800 time
1500 k time
1.2 mile time
2.4 mile time
Average workout distance
Average total distance swam per week
Number of swim sessions per week
Confidence Level in swim - Scale of 1-5. 1 - High 2 - Medium High 3 - Medium 4 - Low 5 - Very Low
Please include any notes, comments about your swimming background, level, needs etc.


Cycling Information
(include time and approximate date)
40k split  
56 mile split
Average workout distance
Average total ride time
Number of rides per week.
Own a stationary trainer? Yes No Plan to Purchase
Own a computrainer?Yes No Plan to Purchase
Own a set of rollers?Yes No Plan to Purchase.
Confidence Level in cycling skills - Scale of 1-5 1 - High 2 - Medium High 3 - Medium 4 - Low 5 - Very Low
Confidence Level in cycling ability - Scale of 1-5 1 - High 2 - Medium High 3 - Medium 4 - Low 5 - Very Low.
Please includes any notes, comments about your cycling background, level, needs etc.



Running Information
(include time and approximate date)
5k
10k
1/2 marathon
marathon
Average run distance per workout
Average run time per workout
Number of runs per week.
Confidence Level in run ability. - Scale of 1-5 1 - High 2 - Med High 3 - Medium 4 - Low 5 - Very Low.
Confidence Level in run technique, form. - Scale of 1-5. 1 - High 2 - Medium High 3 - Medium 4 - Low 5 - Very Low

Training Commitment
Please specify the average number of hours per week that you can commit to training.
9-10 hrs 10-12 hrs 12-14 hrs 14-16 hrs 16-18 hrs 18-20 hrs 20+ hrs

Please specifiy the maximum number of hours per week that you can commit to at peaks levels of training.
14 hrs 15 hrs 16 hrs 17 hrs 18 hrs 19 hrs 20 hrs 22 hrs 24 hrs+

Goals
Please outline your goals for Ironman.


Events
Please note any race or training events that you plan on, or would like to do, before Ironman.


Medical /  Heath
Hypercat Racing strongly recommends that you visit your doctor for
a routine physical check-up prior to engaging in the Ironman training program.
Training for any triathlon, let alone the extreme nature of Ironman, assumes
and requires that you are free of any health issues.

Payment
Please select payment method:
Personal Check
Paypal

Please select payment terms:
Payment in full ($280 personal check, $290 Paypal)
Payment in two installments. $140 by 10/1/06, $140 by 1/1/07

Personal check is payable to "Hypercat Racing"
Mailed to: Hypercat Racing, 1346 Merced Street, Richmond, CA 94804
Paypal address is: hypercatracing@hotmail.com 
*No Refunds*  

Note to Athletes:
Thank you for taking the time to officially register for the IM Austria group training program
and for filling out the information above in the athlete questionnaire.
The information you provide will aid us is formulating the most effective
group training structure possible. 

Please click the submit button to complete registration.