In Flight Runner Member Questionnaire & Waiver

Registration For Our 2011-12 Marathon & Half Marathon Program Will Remain Open Through August 31st

Only fill out and submit this runner profile if you have already purchased an In Flight Running program (marathon/half marathon program, hill or speed interval training or PR+ spring interval training). If you have not registered go to the In Flight Running Registration Link and register for your program of choice first.

If you are mailing your payment send it to the following address and make your check payable to In Flight Running:

In Flight Running
1302 Waugh Drive PMB 267
Houston TX 77019

This runner questionnaire gives us a good idea of your running skill level and what your running goals are. It also gives us everything we need to know about you to modify your training as needed, reduce your risk of injury and better your chances of reaching your training goals. This form also acts as our medical waiver so it is required before participating in any In Flight Running training program. Please fill out as much information as possible that applies to your current running situation. For info that does not apply fill in an "NA" or explain further.

Contact Information

Today's Date


First Name

Last Name

Age

Birth Date

Gender
Male
Female

Street Address


City

State

Zip

Evening or Home phone

Daytime or Work phone

Cell phone
We like to use cell phone numbers as the primary way to contact runners. We also use your cell number to send out occasional, group text messages when we have weather cancellations or important broadcasts to the group.


Best time of day to contact



E-mail Address
Please read the following note before providing us with your primary address
We use email as our primary communication tool. We are a no spam zone and do not sell or use your email address for any purpose other than sending out group newsetters, newsflashes, running routes and invitations to seminars and special events. We highly recommend using a non work email address that you can access during non work hours and weekends (your home internet provided address, gmail, yahoo, hotmail etc.) Please use an email address that you check almost daily so you get up to date info about group runs and events.


Social Media Communication
We use both Facebook and Twitter to broadcast info and updates to runners. Please let us know what social network you use the most below. We also recommend joining our Facebook Page, Twitter Page and adding Coach Michael Merlino and Coach Duval as your friends on Facebook.

FaceBook
Twitter
I don't use social media


How Did You Find Out About Us?
Please check all that apply below. If you were referred by a friend use the "personally referred by" text box below to enter their name.

In Flight Running or InFlightRunning.com
In Flight Running email newsletter
In Flight Running postcard
In Flight Running poster
In Flight FaceBook page or ad
In Flight Twitter page
Merlino Fitness or MerlinoFitness.com
American Cancer Society DetermiNation Program

Houston area race packet insert
Houston Marathon expo booth visit
Houston Marathon website
Houston Area Road Runners Association (HARRA) or website
Google search
Yahoo! search
Bing search
Other search engine
Dr. John Cianca, MD
Dr. Jeffrey Ross, Podiatrist
Dr. J.D. Hasenbank, DC- Spine & Sports Therapy
Dr. Lordes Labrada, DC - Labrada Chiropractic
Catherine Kruppa, RD

Fleet Feet Running Store
New Balance Running Store (Post Oak)
Brooks Running
Watermill Express
Houston Chronicle
My local newspaper
Other resource

Personally Referred By (enter name below):

Which In Flight Program Did You Just Purchase?
See the "Where We Train" web page for our training locations.

2011-12 Marathon/Half Marathon - "Weekend" Package - May 28, 2011 - Feb 25, 2012
9 month season - Saturday AM long support only + Thurs evening open runs at Fleet Feet Rice

2011-12 Marathon/Half Marathon - "Essentials" Package - May 28, 2011 - Feb 25, 2012
9 month season - Saturday AM long support + Thurs evening open runs at Fleet Feet Rice + 12 weeks Wed hills + 12 weeks Wed speed

2011-12 Marathon/Half Marathon - "Excel" Package - May 28, 2011 - Feb 25, 2012
9 month season - Saturday AM long support + Thurs evening open runs at Fleet Feet Rice + 24 weeks of Mon & Wed hills and speed each week

What Method Did You Use To Pay For Your Training?

Paid online at InFlightRunning.com
Paid by credit card over the phone
Paid by check by mailing my payment in
Have not yet paid for my training
- we prefer to have your payment and registration before you submit this questionnaire.

In Flight Running T-Shirts

Please Read Carefully Before Selecting Your Shirt Choice and Size!
In Flight understands the all important team T-shirt. So we offer double the fun with 2 shirts every year to all members who join any of our training programs (marathon, half marathon, hill training, speed training). Each runner receives a 50/50 Gildan cotton/poly mix unisex T-shirt and a Brooks men or women's style moisture transfer tech running shirt. You get your choice of a Brooks tank or T tech shirt.

Below let us know your T-shirt size for the 50/50 cotton/poly "In Training" shirt and your choice of tank or T tech shirt and size. Select size for both types of shirts by taking into consideration that the 50/50 will shrink slightly and the tech shirt will hardly shrink at all but have more of a sporty, tapered fit to it. Tech shirt is offered in men and women's specific styles not unisex. Women who have a longer torso may want to go with the equivalent size in a men's style. If your shirt does not fit right we will exchange it for a size that does.

T-Shirt Size - 50/50 "In Training" Unisex Team Shirt
This shirt is unisex style Gildan 50/50 cotton/poly and may shrink a little
Extra Small
Small
Medium
Large
Extra Large
Extra Extra Large

Tech Shirt Style - Brooks Moisture Transfer Running Team Shirt
T-shirt
Tank/Singlet

Tech Shirt Size
T-shirts and tanks come in men and women's specific styles. This shirt will not shrink much at all and has a more sporty, tapered fit. Keep all of that in mind when choosing a size.
Extra Small
Small
Medium
Large
Extra Large
Extra Extra Large

Health & Injury Information
All of this information is held strictly confidential. This information allows us to design a training program specific to you and take the necessary actions to maximize your safety while while training and racing with our group.

Height

Current Weight

Have you had any running related injuries within the past 6 months?
Yes   No

If "yes" to the question above, please list injury or injuries and date of onset.
Also be specific to which side of the body the injury occurred on (i.e. - right acl, left anckle, left IT band etc.)



Medical History
Please check any of the following health risks and medical conditions that you have had in the past or currently have. If you need to note something that is not mentioned please note it in the "Other medical conditions box below:

High blood pressure (even if controlled with meds)
High cholesterol (even if controlled with meds)
Diabetes
Hypo thyroid
Hyper thyroid
Previous heart attack (please add details in box below) *
Previous stroke (please add details in box below) *
Heart problems (please add details in box below) *
Coronary artery disease
Arterioschlerosis (hardening of the arteries)
COPD (chronic obstructive pulmonary disease)
Asthma
Arthritis (please add details on area(s) affected in box below) *
Fibromylagia
Previous surgery (please add details in box below of type, area affected and date)
*

List more detail on each condition you checked above if necessary, especially the ones with an asterisk next to them.

List other past our current health risks or medical conditions below that are not listed above:

Running History
Fill us in on your running skill level and history. Your training program will be designed based on what you tell us.

How long have you been running (in years)?


Please rate your current running skill level?
Beginner I - I am a recreational runner, have just started running on my own or have run some short distance races (5K - 10K distance)
Beginner II - I have never trained for a long distance race (10 + miles) but have a some base
Beginner III - I have completed a half marathon or marathon withing the past year and have maintained most of my running base
Beginner IV - I have run a half marathon or marathon within the past year and have maintained most of my running base
Intermediate - I have run multiple half marathons or marathons and have maintained my running base
Advanced - I am a competitive runner and have run multiple half marathons or marathons

How often do you run each week?
Not currently running at all
1 time per week
2 times per week
3 times per week
4 times per week
5 times per week
6 times per week
7 times per week

What is your current average training pace per mile in minutes?
This is not a racing speed but a pace you can comfortably train at on most days

I have no idea what my current pace is
7:00 minutes or faster
7:00 - 7:30 minutes
7:30 - 8:00 minutes
8:00 - 8:30 minutes
8:30 - 9:00 minutes
9:00 - 9:30 minutes
9:30 - 10:00 minutes
10:00 - 11:00 minutes
11:00 - 12:00 minutes
12:00 - 13:00 minutes
13:00 - 14:00 minutes
14:00 or slower

What is your current longest weekly run in miles?
Not currently running at all
1 - 3 miles
4 miles
5 miles
6 miles
7 miles
8 miles
9 miles
10 miles
11 miles
12 miles
13 miles
14 miles
15 miles
16+ miles

Racing History
Don't let this section intimidate you. If you have not raced before it is not a big deal. We are big on running races because it is the best way to get a guage of how your running is really improving in a controlled and certified course distance. Please fill in all applicable race time info. If you have not run the race distance mentioned fill in the box with an "NA".

List your best 5K time, race name & location:

List your most recent 5K time, race name & location:


List your best 10K time, race name & location:


List your most recent 10K time, race name & location:



List your best 1/2 marathon time, race name & location:


List your most recent 1/2 marathon time, race name & location:



List your best marathon time, race name & location:


List your most recent marathon time, race name & date ran:



List all marathons & half marathons completed and dates ran:


Select which races you want to train for this year (click all that apply)
For more info and on-line registration for the following races check out our
"Races We Train For" Page

Want to train for 5K (3.1 mile) distance
Want to train for 5 mile distance
Want to train for 10K (6.2 mile) distance
Want to train for 10 mile distance
01.30.11 - Chevron Houston Marathon
01.30.11 - Aramco Houston Half Marathon
10.10.10 - Chicago Marathon
10.17.10 - San Francisco Nike Women's Marathon
10.24.10 - Niagara Falls International Marathon
10.24.10 - Niagara Falls International Half Marathon
10.25.10 - Dublin Ireland Marathon
10.31.10 - DC marine Corps Marathon
11.07.10 - New York City Marathon
11.14.10 - San Antonio Rock n Roll Marathon - In Flight Road Trip
11.14.10 - San Antonio Rock n Roll Half Marathon - In Flight Road Trip
12.04.10 - Memphis Marathon
12.04.10 - Memphis Half Marathon
12.05.10 - Las Vegas Marathon
12.05.10 - Las Vegas Half Marathon
12.05.10 - Dallas White Rock Marathon
12.05.10 - Dallas White Rock Half Marathon
12.12.10 - Honolulu Marathon
01.08.11 - Orlando Walt Disney Half Marathon
01.09.11 - Orlando Walt Disney Marathon
01.16.11 - Phoenix Rock n Roll Marathon
01.16.11 - Phoenix Rock n Roll Half Marathon
01.30.11 - Miami Marathon
01.30.11 - Miami Half Marathon
02.13.11 - New Orleans Mardi Gra Rock in Roll Marathon
02.13.11 - New Orleans Mardi Gra Rock in Roll Half Marathon
02.20.11 - AT&T Austin Marathon
02.20.11 - AT&T Austin Half Marathon

Please list your specific running goals below


What races, marathons or half marathons not mentioned above do you also plan on training for during 2009-10?



Thank you for filling out our running questionnaire!
We know it was a little work but this really helps us know everything we need to know about you before you start your program. If you have further questions abour our programs please email us at info@inflightrunning.com or call us at 713-523-2577 ext 3. Your registration will be confirmed by email when you pay on-line or mail us a check. If you have not registered please go to our Register On-line link. There is currently no cap for our off season track/hills, summer hills or fall track. Our marathon/half marathon training program will be capped at 300 runners for the 2009-10 season so sign up asap!

Our No Spam Policy
In Flight Running is a no spam zone and we truly respect your Internet privacy. We DO NOT share your information with any other individuals, companies or web sites. All information included in this questionnaire is held strictly confidential and used for coaching and communication purposes only.

In Flight Running Waiver:
All In Flight Running participants agree to this waiver by clicking the "send" button below. I certify that I am over the age of 18 and have read and fully understand the contents of the In Flight Running waiver below and agree to its terms and conditions in full. If I am under 18 years of age a parent or guardian must agree to these terms and conditions. I understand that participating in a group, long-distance running program is a potentially hazardous activity. I assume all risks associated with this training program, including, but not limited to, injuries, the effects of weather heat and humidity, acts of God, the conditions of group running routes and all such risks being known and appreciated by me. Having read this waiver and knowing these facts, I, for myself and anyone entitled to act on my behalf, waive and release In Flight Running, the owners, employees, contractors and all sponsors, business partners and their representatives and successors from all claims of liabilities of any kind arising from my participation in this training program.

Thank you for your time. We look forward to meeting you and coaching you this year!

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