No Limits GT

Question Title

* 1. Please complete the following

Name

Phone #

Question Title

* 2. What MAIN event are you training for?

Try a tri

Sprint

Olympic

Half Ironman

Ironman

Name of Race with Date please

Question Title

* 3. What type of Athlete are you?

Swimmer - 1500m in less than 23 mins

Swimmer - 1500m in 24 - 28 mins

Swimmer - 1500m in 30+ mins

Swimmer - just learning

Bike - Experienced strong biker

Bike - Recreational biker but never entered a race

Bike - Just learning

Run - 10 Km in less than 42 min

Run - 10 km in less than 49 min

Run - 10 Km in hour or more

Run - Just learning

Other (please comment about your fitness level)

Question Title

* 4. How many workouts do you want each week?

Swim - 3 a week

Swim - 2 a week

Swim - 1 a week

Swim - None

Bike - 3 a week

Bike - 2 a week

Bike - 1 a week

Run - 3 a week

Run - 2 a week

Run - 1 a week

Other (please specify)

Question Title

* 5. Do you have any current injures or physical limitations that we should be aware of?

Yes

If Yes please list

Question Title

* 6. Training equipment - what are you currently using?

Swim - Pull buoy

Swim - Kick board

Swim - Paddles

Bike - Outside only

Bike - Bike trainer at home

Bike - Spin bike at gym

Bike - Power Meter

Run - Outside

Run - Outside and Track

Run - Just track

Run - Outside, track and treadmill

Run - Just treadmill

Other (please specify)

Question Title

* 7. What are your current Training Zones?

Anaerobic Threshold for Bike

Anaerobic Threshold for Run

Zone 1

Zone 2

Zone 3

Zone 4

Zone 5

other

Don't know

Question Title

* 8. Start Date. When would you like to Start your Program?

Question Title

* 9. Par - Q (please complete the following questions)

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No?	Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? Yes	Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? No
Do you feel pain in your chest when you do physical activity? Yes or No	Do you feel pain in your chest when you do physical activity? Yes or No Yes	Do you feel pain in your chest when you do physical activity? Yes or No No
In the past month, have you had chest pain when you were not doing physical activity? Yes or No	In the past month, have you had chest pain when you were not doing physical activity? Yes or No Yes	In the past month, have you had chest pain when you were not doing physical activity? Yes or No No
Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No	Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No Yes	Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No No
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No	Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No Yes	Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No No
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No	Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No Yes	Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No No
Do you know of any other reason why you should not do physical activity? Yes or No	Do you know of any other reason why you should not do physical activity? Yes or No Yes	Do you know of any other reason why you should not do physical activity? Yes or No No
Is the information you have entered in this questionnaire accurate and true?	Is the information you have entered in this questionnaire accurate and true? Yes	Is the information you have entered in this questionnaire accurate and true? No

If you answered Yes to one or more questions. Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES.

Question Title

* 10. By signing this form, you agree, warrant and covenant as follows:

This agreement is between (Member) and Todd Malcolm operating as No Limits.
1. Term and Compensation
A. Term
This Agreement commences upon the date No Limits receives a completed copy of this Agreement by Member ("Effective Date").

B. Coaching Service Fees
Member understands and agrees to the monthly fees with the associated program listed on the sign up page, $95 a month.

C. Coaching Services
Member understands that he/she will receive the Services purchased under this Agreement. Member agrees that e-mail correspondence shall be initiated by Member or No Limits. It is up to the member to provide questions prior to the 4 week video to ensure that their questions are answered .

2. Termination
Member acknowledges and agrees that Member may terminate a Renewal Term without cause provided that Member has indicated in writing Member's intention not to renew at least fifteen (15) days prior to the expiration of the Renewal Term.

3. Confidentiality
Member agrees that the Services provided under this Agreement are strictly confidential and may not be disclosed to any third party without the express written consent of No Limits, including but not limited to, the materials provided to Member from No Limits, and the substance of the communications between No Limits and the Member.

4. Waiver and Release of Liability, Assumption of Risk and Indemnity
MEMBER HEREBY ACKNOWLEDGES THAT NO LIMITS MAKES NO WARRANTIES AND DOES NOT GUARANTEE INDIVIDUAL RESULTS. MEMBER, NOT NO LIMITS, IS PERSONALLY RESPONSIBLE FOR THE ACHIEVEMENT OF INDIVIDUAL PERFORMANCE GOALS. MEMBER FURTHER UNDERSTANDS AND ACKNOWLEDGES THAT ATHLETIC TRAINING IS INHERENTLY DANGEROUS AND CARRIES WITH IT THE POTENTIAL FOR EACH, SERIOUS INJURY AND PROPERTY LOSS. MEMBER UNDERSTANDS AND AGREES THAT MEMBER ASSUMES THE RISK OF PARTICIPATING IN THE TRAINING AND ACTIVITIES RECOMMENDED BY NO LIMITS. MEMBER CERTIFIES THAT HE or SHE IS PHYSICALLY FIT AND SUFFICIENTLY TRAINED FOR PARTICIPATION IN THESE SERVICES AND THAT MEMBER HAS NOT BEEN ADVISED AGAINST PARTICIPATION BY A QUALIFIED HEALTH PROFESSIONAL. IN CONSIDERATION OF THIS AGREEMENT, MEMBER HEREBY INDEMNIFIES, RELEASES AND FOREVER DISCHARGES NO LIMITS FROM ANY LIABILITY, CLAIMS, LOSSES, COSTS, OR EXPENSES, AND WAIVES THE RIGHT TO PURSUE LEGAL ACTION AGAINST NO LIMITS ARISING DIRECTLY OR INDIRECTLY FROM MEMBER'S PARTICIPATION IN THE SERVICES, INCLUDING CLAIMS OR DAMAGES RESULTING FROM DEATH, PERSONAL INJURY, PARTIAL OR PERMANENT DISABILITY OR PROPERTY DAMAGE, MEDICAL OR ECONOMIC LOSSES. THIS AGREEMENT SHALL BE BINDING UPON MEMBER'S HEIRS, ASSIGNEES, SUCCESSORS AND PERSONAL REPRESENTATIVES. MEMBER HEREBY FURTHER STATES THAT HE/SHE CURRENTLY SUFFERS FROM NO PHYSICAL OR MENTAL CONDITION THAT WOULD IMPAIR HIS/HER ABILITY TO FULLY PARTICIPATE IN THIS AGREEMENT. MEMBER REPRESENTS AND WARRANTS THAT HE/SHE IS EIGHTEEN (18) YEARS OF AGE OR OLDER.

5. Governing Law
This Agreement shall be construed under and in accordance with the laws of the province of Alberta exclusive of any conflict-of- law or choice of law rules and principles. Any disputes arising from this contract will be brought in the forum of Alberta.

YOU SHOULD READ THIS AGREEMENT CAREFULLY BEFORE ACCEPTING ITS TERMS. YOU UNDERSTAND AND AGREE THAT THE SERVICES ARE PROVIDED TO MEMBERS EXCLUSIVELY UNDER THIS AGREEMENT BY NO LIMITS. BY SIGNING BELOW, YOU ARE STATING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT; AND THAT YOU IRREVOCABLY AGREE TO ALL OF THE TERMS OF THIS AGREEMENT AS UPDATED BY NO LIMITS FROM TIME TO TIME. IF YOU DO NOT AGREE TO ALL OF THE TERMS OF THIS AGREEMENT, NO LIMITS WILL PROMPTLY CANCEL THIS TRANSACTION. CONTINUED ACCEPTANCE OF AND COMPLIANCE WITH THE TERMS OF THIS AGREEMENT ARE A CONDITION OF NO LIMITS PROVIDING THE SERVICES.

Name

Do you agree? Yes or No?

Date