Sign Up Form

First Name:
Last Name:
Age:
Sex:
Address:
Email:
Phone:
Evaluation Questions
How did you hear about us?
How long have you been running for?
Why do you run?
stay fit enjoy it social reasons lose weight medical reasons
other (please explain)
How many miles per week do you walk/run?
What are your running or personal goals in regards to joining MCC? (Be specific. Use dates and times when you desire these goals to be met, and what exactly your goals are)
What other activities have you done or currently do? Please elaborate in regards to the frequency, duration, and dates/times for each activity.
Please explain any current or past medical conditions that may impede your training?
Have you used a coaching or running program before?
If yes, what did you like and/or dislike about the experience?
When do you wish to start you training?