Coach Mort-Intake – Morten Lileng

Please be as descriptive as possible as it will help me learn as much as possible about you as an athlete.

WAIVER: By Submitting this form, I acknowledge that running can be a physical demanding sport and I assert that I am in proper physical condition to train for goals I have chosen. I also acknowledge that, as with any physical activity, there is a risk of injury and I agree not to hold Coach Morten Lileng liable for any such injuries that may potentially come about in the normal course of training or racing.

Name *

First

Last

Email *

Phone *

Address (Street, City, State, Zip) *

Date of birth *

Gender *

Height

Weight

Please list the goals you have for the next 12 months

If you have planned races the next 12 months, please list them with dates. Include goal times, if any.

What are your personal best times and when did you set them? Please list 5k, 10k, half marathon, marathon if applicable

Please list out your race results from the last 2 years (approximate dates and times), if applicable

How many days per week do you run

Can you describe a typical week including running and other cross training activities? (i.e. Mon- rest, Tue- track/speed, Wed- rest, etc.)

How far is your average run (miles)

What is your longest run (miles) the last 8 weeks

Average total miles per week during the last 8 weeks

Highest mileage week the last 12 months

How many years have you been running

Have you had any major running related injuries in the past year

What are you most hoping to get out of our coaching experience