Progressive Coaching SystemsAthlete Application Complete the form below to apply to be a PCS Athlete Athlete Application Please complete the following form to kickstart your application: Have you had a breakthrough call with me? Yes I'm ready to sign up! If you haven't had a break through call with me, please jump here and schedule your spot today. Name First Last Date Of BirthGenderMaleFemalePrefer Not to AnswerOccupationContact DetailsEmail Mobile NumberAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Physical ProfileHeight in cmWeight in kgResting Heart RateMax Heart RateIf knownMedical Background & Injury HistoryPlease describe with as much detail as possible your history of health related matters and injuries. Also explain any current injuries that may prevent you from training at 100% effort or if you are currently on any medication that we should know about etc. If you are over 35 and have not exercised for more than 2 years OR you have a history of heart problems/disease in your family, please consult your doctor before embarking on a training program. Medical Background & Injury HistoryAthlete ProfileFor which discipline/s do you require coaching? Cyclocross General Health & Fitness Mountain Biking - XCO (Olympic Cross Country) Mountain Biking - XCM (Marathons/Enduro) Mountain Biking - DHI (Downhill) Multi-sport Road Racing - General Road Racing - Time Trial Road Racing - Tours Track Racing Race Licences Cycling Australia MTBA UCI What Age Category are you?Please select if you knowJunior U15Junior U17Junior U19Open U23Open EliteEliteMastersNumber of years exercising?Number of years cycling?Number of years racing?Please describe your training background including any previous training programs and coaching.Please describe your STRENGTHS both physical and psychological when it comes to training and racing.Please describe your WEAKNESSES both physical and psychological when it comes to training and racing.Goal SettingShort term goals (up to 3 months)Medium term goals (up to 12 months)Long term goals (3-5 years)Target goal (one event you wish to target within the next 12 months)What do you hope to achieve from your training program?Typical WeekPlease describe a typical weeks training including what type if training e.g. road or mountain bike, how long was your training, how hard was your training and any other characteristics e.g. group rides, bunch rides, stretching, strength training, racing etc.MondayTuesdayWednesdayThursdayFridaySaturdaySundayTraining AvailabilityPlease enter here your available time to train in hours/minutes including strength training (gym) if applicable e.g. 1hr30mins or leave blank if unavailable.Monday AM PM Tuesday AM PM Wednesday AM PM Thursday AM PM Friday AM PM Saturday AM PM Sunday AM PM Other CommitmentsWhen planning your training, please describe your other commitments so that we can ensure you have a healthy balance of homelife, work and training. Other commitmentsTotal number of hours available per week to trainRacing CommitmentsList here ALL likely races in your schedule for the next 12 months and indicate which races you would like to do better in than others.Racing ScheduleResultsPlease describe your best results prior to this programEquipmentWhat equipment do you have? Heart Rate Monitor Power Monitor Rollers Smart Trainer What Bikes fo you have? Hardtail Mountain Bike Full Suspension Mountain Bike Roadbike Cyclocross Bike DetailsPlease describe your current suite of bikes (brand/model etc) and who performed the bike set-up etc.Do you own or have access to any gym equipment? Own gym equipment Member of a gym Access to a gym Please tell usHow did you hear about PCS Google AdWords Internet Search Facebook Ad Friend Saw PCS at a race Other OtherAnd FinallyPurpose of Assessment I'm ready to sign up! Other OtherPreferred contact with coach Email Phone Text Facebook Messenger Skype Google Hangouts Other OtherCAPTCHACommentsThis field is for validation purposes and should be left unchanged.