Running Coaching Enquiry Form First Name (REQUIRED) Surname (REQUIRED) Contact Number (REQUIRED) Email Address (REQUIRED) Residential Address Which coaching package/s are you interested in? (REQUIRED) Which coaching package/s are you interested in? (REQUIRED) Monthly program and support - R300 / month Once-off running program - R1000 once off Consultation - Correct shoe and running gait analysis - R300 / consultation Athletic Coaching - Track - Sprints and long distance running - R500 / month How long have you been running? (REQUIRED) How many km's a week do you run? Most recent 5 km time and date run? Most recent 10 km time and date run? Most recent 21 km time and date run? Most recent marathon time and date run? Name, distance and finishing time of your longest run? What are your running goals in the next 6 months? What are your running goals in the next year? Which days can you train on? Which days can you train on? Monday Tuesday Wednesday Thursday Friday Saturday Sunday How many hours per day can you train for? What make and model is your running watch? Submit
