Take your training to the next level: schedule your running history consultation to embark on a customized run-training program unlike anything you've ever done before.

Running History Form

Upon submitting the below form, you accept the following disclaimer:

I know that running can be a potentially hazardous activity. I should not participate unless I am in good health, medically able, and properly trained. I assume all risks associated with this program including, but not limited to: falls, the effects of weather, including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. I fully accept and assume all responsibility for losses, costs, and damages I incur as a result of my participation in this program. I agree to abide by any decision of Excel Rocktown Running staff relative to my ability to safely train. Having read this waiver, knowing these facts, and in consideration of accepting my entry, I for myself and anyone entitled to act on my behalf, discharge, waive, and release Excel Rocktown Running staff, along with their charities, sponsors, agents, volunteers and employees from all claims or liabilities of any kind arising out of my participation in this training. Accepting this waiver also means I understand that I will be added to the Excel Rocktown Running email distribution list and photos of me may be used for future advertisements of Excel Rocktown Running.

Name*

E-mail*

Phone Number*

How did you hear about Excel Rocktown?*

Preferred days/times to be scheduled for a consultation*

Gender*

Age*

Height (Ft/In)*

Weight (lbs)*

What has been your longest run in the past 6 weeks?*

Give details of specific workouts you have performed over the past 6 weeks and any race performances from the past 6 months. (provide times and distances)*

How much free time do you have, on a daily average, for running? (Hrs/day)*

How many days per week are you able to and/or would like to train?*

List any races you are planning to run in the 4 coming months.*

What is your most important race in the next 6 to 12 months? (distance, date)*

List any major health or training complications you have had in the past.*

Questions that you have for me.

Preferred Package*

Read the waiver below and select "I agree". *

I agree.