Your first step to training with Rainsberger Athletics is to assist us with the following information. Once your information is received I will call you and we can discuss your training goals in further detail.

I look forward to hearing from you!


Please fill in the contact information below: *(Required Information)

* Name:
 Street Address:
 Zip/Postal Code:
Phone Number(s):

* Home:

* Email:
 Date of Birth:

The following information will help in the
assessment of your training needs:

Please describe your athletic strengths, weakness, disabilities:
Have you ever worked with a coach before?
yes no
Please describe what your coaching expectations are:
What events are you training for? 
  ˝ Marathon
  Sprint – ˝ IM
What are your current race goals?
Current Fitness goals?
Long term race goals?
What days of the week do you prefer to take off?
If you are a triathlete please indicate what days of the week
you prefer to swim, bike, run?

Are you currently experiencing any athletic related injuries?
yes no
If so, please describe them, what medications if any you are on,
and whether you have received a doctor’s diagnosis.
Please use this space to provide additional details about yourself:

In submitting my training and racing information, I certify below that I have read the above statements and that I understand and agree to the terms and conditions thereof.

*  I have read the above statements and I understand
and agree to the terms and conditions thereof.

*  Human check: What is 6x2=?