UcanJog2 Enquiry & Health Questionnaire
Running with UcanJog2 is about having fun, getting fit, improving health and mental wellbeing. We are a group of women who value inclusion, connection and enjoyment as part of a supportive women's running club.
All women are welcome regardless of ability! 
Sessions are designed for ladies of all different abilities whether you have never run before or already running. 
I hope you'll join us! Debra (owner and run leader)
Email *
Your Full Name *
Please enter your Mobile number  *
Please enter your email *
Age *
How did you hear about UcanJog2? 
If recommended by a friend please let me know their name so I can thank them!
If Social Media please let me know if Facebook or Instagram.
 *
Are you new to running or have you run previously? Please tell me about your running history and experience (if any) or as much info as possible so I can gage your current ability prior to your first session and group you with ladies of a similar ability.  *
Do you take part in any other exercise? If so what
What is your motivation to join UcanJog2 running club?
Do you have a short term and long term goal that you would like to aim for? If so tell me about them.
Do you have any of the following medical conditions? Click None if n/a *
Required
Do you have any injuries or any other condition not included on this form that the Run Leader should be made aware of?
Running will benefit your cardiovascular health and make you feel great but are you using running as a way to manage weight loss? *
If you are wanting to lose weight, owner of the club Debra is an evidence based certified Nutritionist and Online Coach working with ladies Individually and in Groups to support, educate and coach them with their nutrition to work towards their goals. Is this something you may potentially be interested in? *
Informed consent – liability waiver I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease or infirmity or other illness (other than those declared on the attached medical questionnaire) that would prevent my participation or use of equipment or facilities except as herein stated. I acknowledge that I have either had a physical examination and have been given my doctors permission to participate, or that I have decided to participate in activity without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of equipment and machinery in my activities. *
The club has a really easy to use booking app where you can book, cancel and manage your runs sessions. The link to download the Fit by Wix app to your phone is below. 
You are able to purchase a Single Session to try a run with the club before purchasing a batch of sessions where cost is reduced and you can use them on a Pay as you Go system  *t&c's apply. 

App - http://wix.to/okBwB8s?ref=cl

After completing your first 6 sessions with the club you are required to join the club to receive the member benefits and be part of our unique club that values being inclusive to all women regardless of ability or goals. 

UcanJog2 Member Benefits & Terms and Conditions can be found here https://www.ucanjog2.com/privacy-policy
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms