No Limits Athlete Questionnaire Question Title * 1. Please answer the following Name Phone # Email Date of Birth Briefly describe your previous and current athletic history: What and When is your Key race? Question Title * 2. What are your previous best times in the following? Sprint Distance Half Ironman Ironman 5 Km Run 10 Km Run Half Marathon Marathon 500m Swim 1000m Swim 1500 Swim 40 Km Bike Question Title * 3. Do you have any current injures or physical limitations that we should be aware of? Yes No If Yes, please list: Question Title * 4. Please list the days that you want to train on? Eg Swim on Monday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Question Title * 5. What is your fitness level? Bike Threshold (HR and power) Run Threshold (HR) Level of fitness on a scale of 1 to 10? (1 being totally unfit and 10 being your fittest ever) Question Title * 6. Goals and Objectives. Please answer to the best of your knowledge List 5 goals for training that you would like to accomplish this year List 5 of your specific strengths in triathlon List 5 specific areas that you need to improve in triathlon Describe 5 things that you did that helped you last season Describe 5 things that you did last year that did not help you last season List the races and goals for your upcoming race season Question Title * 7. Please indicate which program level you want to join by typing... Yes Please. Level 1 (325+tax/month) Level 2 (375+tax/month) Level 3 (625+tax/month) Level 3 (1999+tax/month) How many months do you want to sign up for? On what day (Monday) do you want to start? Question Title * 8. 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 CompensationA. TermThis Agreement commences upon the date No Limits receives a completed copy of this Agreement by Member ("Effective Date"). B. Coaching Service FeesMember understands and agrees to the monthly fees with the associated program listed on the sign up page or other agreed upon value per month.C. Coaching ServicesMember 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. ConfidentialityMember 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 IndemnityMEMBER 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 LawThis 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 Question Title * 9. Par - Q (please complete the following questions) 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? Do you feel pain in your chest when you do physical activity? Yes or No In the past month, have you had chest pain when you were not doing physical activity? Yes or No Do you lose your balance because of dizziness or do you ever lose consciousness? 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 Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No Do you know of any other reason why you should not do physical activity? Yes or No Is the information you have entered in this questionnaire accurate and true? Yes or No? Done