Athlete Coaching Application

Middle-distance, distance, and cross-country coaching. Grades 5-12 and individual applicants. Completing this application does not guarantee acceptance. Detailed health and training information is collected after acceptance.

Athlete Information

Athlete name *

Date of birth *

Current grade

School

Athlete phone

Athlete email

Parent / Guardian

Required for athletes under 18.

Parent/guardian name

Parent/guardian phone

Parent/guardian email

Current Performance

800m current / recent PR

Date / season

1600m / Mile current / recent PR

Date / season

3200m current / recent PR

Date / season

5K / XC current / recent PR

Date / season

Training Background

Current weekly mileage (approx.)

Years in organized running

Current / most recent team

Current coach (if applicable)

Briefly describe your current or most recent training

Any significant running-related injuries in the past 12 months? If yes, briefly explain

Goals & Fit

What are your primary goals for coaching?

What is currently holding you back, or what would you most like help with?

Interested in college recruiting support now or in the future?

Yes No Unsure

Anything else you would like the coach to know?

Availability

Generally available for local training

Tuesday Thursday Saturday Other

Scheduling notes / transportation limitations

Parent / Guardian Acknowledgement

For applicants under 18: I understand this is an application for coaching services and that a separate agreement, waiver, and detailed intake process may be required before participation.

Type parent/guardian full name to acknowledge

Athlete Coaching Application

Athlete Information

Parent / Guardian

Coaching Interest

Current Performance

Training Background

Goals & Fit

Availability

Parent / Guardian Acknowledgement