Peaks Coaching Group

Thanks for joining the Peaks Coaching Group!

In order to better understand you as a rider and better prepare to help you achieve your goals, please complete the following questions as thoroughly as you can. Be honest and give details, the more we know about you, your training and your goals, the better our results.

Please provide the following information(* indicates required information):

Name:

Address:

City/Municipality:

State/Province:

Zip/Postal Code:

Country:

Phone:

Email:

Gender:

Age:

Weight:

What type of riding/events are you looking to train for?

What type of training measurement do you use?

If you are using power, what are your power bests for the following times?

5 seconds:

1 minute:

5 minutes:

20 minutes:

If you are using heart rate, what are your heart rates for:

What is your max heart rate?

What is your threshold heart rate?

What has been your biggest success / best race results to date?

What has been your biggest challenge/failure of the past year?

As a rider, what do you feel are your strengths?

As a rider, what do you feel are your limiters?

How do you fit in the cycling picture?

On a scale of 5 to 1, with a 5 being VERY IMPORTANT and a 1 being NOT IMPORTANT, please rank the following items;

Winning Races:

Traveling:

Being part of a team:

Career:

Family time:

Personal and physical growth:

Having fun:

Friendship with teammates:

Racing:

Pain, suffering, groveling, etc:

Wednesday night group ride:

Helping teammates do well:

Buying new cycling gear:

Recognition:

What are your goals for the upcoming season or year?

What type of races would you like to focus on(hilly road races, fast crits, very technical mountain bike, etc)?

What does your current training schedule look like? How many days? How long per day?

What does your ideal weekly schedule look like?

Monday Hrs:

Tuesday Hours:

Wednesday Hrs:

Thursday Hours:

Friday Hrs:

Saturday Hours:

Sunday Hrs:

Are there any training limitations we need to know about? Travel? Past injuries?

List your key / targeted events and the approximate dates:

Event 1:

Event 2:

Event 3:

Event 4:

Other:

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RELEASE OF LIABILITY
Waiver & Payment Terms

In consideration of being allowed to participate in any way in the Peaks Coaching Group program, its related events and activities, I, the undersigned / acceptor, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE PEAKS COACHING GROUP their officers, officials, agents and/or employees, contractual labor other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I AGREE THAT this RELEASE OF LIABILITY shall be governed by and construed in accordance with the laws of the State of Virginia. All disputes and matters whatsoever concerning or otherwise arising under, in connection with or incident to this Agreement shall be litigated, if at all, in and before a Court located in the State of Virginia, U.S.A. to the exclusion of the Courts of any other State or Country.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Payment Terms:

I agree to pay Peaks Coaching Group Inc. by the 5th each month, for any services rendered or contracted during/for the period in which I am being coached, trained, helped or consulted based on the rate which has been agreed on by both parties.

Cancellation Policy

I understand that it is my responsibility to provide both my coach and The Peaks Coaching Group, Inc., 30 days notice in advance of cancellation or suspension (time off) of coaching services, regardless of whether or not I plan to resume services at a later date. I understand I will be charged a full month after I give notification whether I plan to use the coaching services or not. I understand that there are no exceptions made to this policy. If I plan to resume service with my coach or another Peaks Coaching Group Associate at a later date, I understand that the 30 day notification will still be required. In addition I understand that: