| First Name |
Last Name |
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| Street Address:
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| City:
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| State / Province
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| Country
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| Postal Code / Zip Code
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eMail Address: |
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| Birthdate (ex:4/17/76): |
Specify Kayak or Canoe: |
Racing Experience (Years. Enter 0 if you are just beginning) |
| Club Affiliation (If any): |
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Please Help us out with some
performance information. The more you can tell us about yourself, the more
we can help, and the better able we are to design a program suited to your
needs. Leave blank any fields that do not apply to you |
| First, please enter type the level you feel best describes you: Beginner,
Novice, Club Level, National Level, International Level, Masters. |
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Event or Time Trial |
Best Time |
Competition(eg: 2000 US Nationals) |
| 500m Race or Time Trial |
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| 1000m Race or Time Trial |
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| 2000m Time Trial (with Turn) |
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| How many sessions can you devote to your paddling goals each week
(1-12) |
How many of these sessions should be 1-2 hours? |
How many can be two hours or longer? |
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Down to business |
| What are your canoe and kayak goals for the future.
Try to give realistic expectations as well as a few dreams. Maybe you want
to race the 2012 Olympics, but for next year you just want to finish a full
500! Let us know about it. We don't judge, we just help make things happen |
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| Now, tell us about your upcoming races (names and dates) let us know
which are the most important for you. |
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| And Finally! Are there any limitations which might preclude you from
undertaking a strenuous traiing regeim designed to help you meet your goals.
Training can include but is not limited to: Paddling, Swimming, Running,
Weight Training. |
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| Daytime phone number (Please include Area Code): |
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