SpeakUp5k Tampa Coaching Registration

Michael D’Imperio, “Believe” Endurance Coaching

michaeldimperio@gmail.com, 410-746-2095

Name *
Current Fitness
Distance or time you can run or walk
What is the average minute per mile you can walk/run?
Do you do specialty fitness exercises?
Running History
Injury History
Please be specific as possible
Schedule and Planning
Include type of activity and how many days per week.
If yes, what is it?