Squad Intake – MelRad Coaching

First Name

Last Name

Phone

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Text

Age

CategoryWhat category do you race? Are you age group/pro/elite AG? Be specific for disciplines ie. Road vs. MTB.

My Current Fitness Level Is:LowMediumHigh

I Am Interested In:

Personalized Coaching with Melanie McQuaidDrop-In Classes with Melanie McQuaidPrebuilt Programming for a Specific EventA Custom Prebuilt Program for my EventOne on One Technical Sessions with Melanie McQuaid

Please describe your background/history in sport:

What Level Do You Race At?

I'm training for a RAD lifeI'm training to improve my personal bests and learn to race fasterI'm top in my age group and want to be really fastI'm a pro and NEED to be fast

This Year's Highlight (What Went Right?)

Ultimate GoalWhat is your home run goal? This does not need to be a race result. It can be racing, life, health, chi, whatever you feel would make the most difference right now that I can help you with.

Process GoalsDescribe your goals for the 2021 season. Start with the main events you would like to focus on and then break down how you would ideally like to improve as an athlete to accomplish those goals.

Upcoming Year Planned Race Schedule (*Ideal Scenario)Write your ideal race schedule as: A race (s): Big goal races B race (s): Lower pressure races but still opportunities to perform C race (s): Another step down in priority/might be a fun event with friends

Do you have any health concerns?

YesNo

Please describe any current or past injuries? Explain any medical concerns of note.

Do you have any allergies?

YesNo

Please Describe Your Allergies

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone #

Describe some personal bestsWhat is your FTP? What is your 5km time? What are some recent metrics to base your current fitness on.

List your three greatest strengths

What are three weaknesses you want to address

What is your training availability? What are other stresses you balance in life?

What do you most want to take away from your experience with MelRad Racing?

What do you expect from a coach and how do you want your coach to hold you accountable?

How did you find MelRad Multisport?

Apply for Coaching

I Am Interested In:

What Level Do You Race At?

What gadgets do you like to train with?

Do you have any health concerns?

Do you have any allergies?

What bikes do you have?