Ric
Rojas Running Application
Training for the Simplot Games
Return to Simplot
Info Page
Full Name ________________________
Nickname _________________________
Address ________________________ City ______________State____ Zip______
Telephone Number _________________ email address _______________________
DOB ________________ High School _________________________
Mother's Full Name: __________________________
Father's Full Name ___________________________
Mother's Home Number:________________ Work/cell phone:_________/________
Father's Home Number: ________________ Work/cell phone:_________/________
Mother's email address: ________________ Father's email address:____________
Athlete's primary event: ________________ 2002 Spring Track Goal Time: _______
Athlete's secondary event: _____________ 2002 Spring Track Goal Time: ________
Are you interested
in running a 4x800-meter relay at the Simplot Games?
Yes___ No___
Comments on goals: Your best times last track or cross country season:
1) Event _________ Time _________ Date _________ Place________
2) Event _________ Time _________ Date _________ Place________
3) Event _________ Time _________ Date _________ Place________
4) Event _________ Time _________ Date _________ Place________
Comments on Personal Best Times or Races:
Suitability Questionnaire
This program may not be appropriate for every athlete. Those runners who may not be able to attend practices regularly, have a history or injury or illness, or who may not be able to train properly for any reason should carefully reconsider their participation. In view of this, please answer the following questions regarding your participation in this program.
* Attendance is a high predictor of success. Can you attend the practices listed under "Ric Rojas Running Program Dates & Practice Times"? Can you be prompt? Can you stay for the entire practice? If you answered "no" to any of these questions, please comment on "no" answer(s):
* Your personal health and safety is our primary concern. List any past or current injuries that may either stop or hinder your training:
* If you listed an injury above, what measure are you taking to resolve the injury?
* Are you currently or do you anticipate taking any prescription medications? If so please list and explain the condition for which you are taking the medication: