Run Club expression of interest

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We are currently only accepting new members who can already run 5k without stopping.

A new couch 2 5k programme will commence in September/October 24

Our programme is free but run entirely by volunteers

Please continue to fill the form and your will be placed on our waiting list for C25k and contacted

Existing runners will be contacted by an Ealing Fit Club Run Leader.

Email *

Your full name *

Date of birth *

YYYY

I live in or near ealing and can come to ealing *

Yes

Required

Please provide your mobile number for our what’s app group *

I have run before? *

Yes

I am interested in *

Couch to 5k - I am a NEWBIE to running and have. never run before

5k maintenance - I can or have in the past run 5k - we might suggest you join us on test run first

5-10k

10K plus

We ONLY offer 2 groups run slots (listed below) at the following days and times only - just click the ones you can attend *

Sunday 9am - Elthorne (0-5k and 5-10K )

Thursday 9.00am - Lammas Park (0-5k only)

Required

We will on the occasion need to email all run club members directly by email. We will not share you email with any 3rd party. This will only be used by Ealing Fit Club the owners of Run Club. Please click here - open in new tab -https://tinyurl.com/2p9aw96s *

We use the booking system app for our runners to use to sign in for sessions. Any one who joins us will need to use this system. Please confirm you understand and agree to use the booking system provided to book into each session you attend. *

Yes

Please complete our Physical Activity Questionnaire which will be reviewed by our Personal Trainer and Women's Health Coach

Please indicate any pre-existing medical conditions *
*

Diabetes

Heart Disease

Chest Pains

Shortness of Breath

Broken Bones

Allergies

Recent Childbirth

Heart Murmur

Pneumonia

Epilepsy

Oedema

Heart Attack

Recent Surgery

Palpitations

High Blood Pressure

Low Blood Pressure

Asthma

Seizures

Fainting

Pelvic floor tear

Diastasis

No pre existing medical conditions

Leaking when doing physical activity

My doctor has told me I have a heart condition and that I should only do physical activity recommended them

In the past month I have experienced chest pain not doing any physical activity

Required

If you have ticked any of conditions please expand upon them or type N/A if you haven't.
*

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor.In the past month, have you had chest pain when you were not doing physical activity *
*

yes

Required

Do you experience any leaking when you run or pelvic floor pain, or the urgency to want to go to the toilet when you are running. *

yes

Have you given birth. If yes what type of birth did you have? If you have had a baby in the last 12 months we will send you our postnatal questionnaire.
*

If you answer yes you will be sent a follow up postnatal health questionnaire. *

Natural Birth within the the last 12 months

C Section within the last 12 months

I have not given birth in the last 12 months

Tell us more about the birth or C section if it happened in the last 12 months or put n/a if you have not had a baby in this time. *

Please tell us if you have any injuries that will impact your. Also please used this space to share with us your running goals
*

Please share any information about your application that you think we need to know *

Thank you for expressing your interest! A run leader will be in touch once they have recieved these forms. Please check your spam/ junk mail for replies.

A copy of your responses will be emailed to the address you provided.

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