Please fill out the following coaching questionnaire

Name *
Name
Birthday *
Birthday
Shipping Address *
Shipping Address
If yes please describe
e.g. miles per week, workouts per week, workout content, days your prefer to run, etc
As a member of Hudson Community you will be paired with an athlete to communicate with on a weekly basis. Do you have any preference (gender, distance specialty, etc) of who this person is?
Waiver of Liability *
Waiver of Liability
By typing your name and date below you agree to: I (your name) being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, are voluntarily participating in physical activity with Hudson Elite Having such knowledge, I hereby release Hudson Elite, their representatives, agents, and successors from liability for accidental injury or illness which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program. I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program.
Today's Date *
Today's Date