Sport Ireland Campus Fitness
Please compete the below Registration Form for the Sport Ireland Campus Fitness Transform Programme, 10th January to 11th February 2023 to secure a space.

After you submit the below form a member of our Sales Team will contact you to make payment to secure your space. €50 for members/ €100 for non-members. 

Spaces are limited so will be offered on a first come first serve basis.
  All data provided will be treated confidentially and according to Sport Ireland Campus privacy policy.
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Transform 2022 Group Choice *
Candidates Full Name *
Candidates Mobile Phone Number *
Candidates Email Address *
Candidates Membership Number (SIC Number) if applicable
Briefly outline the goals you wish to achieve during this programme (e.g. Weight Loss, Improved Fitness, Group interaction, strength gains etc.) *
Do you have a Heart Condition (Angina, chest discomfort)? *
Have you ever suffered a stroke? *
Do you experience pains in your chest at rest or during physical activity/exercise? *
Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance? *
Do you have asthma? *
Do you have Diabetes?                                                                       -If yes, have you had trouble controlling your blood glucose in the last 3 months? *
Do you have any diagnosed muscle, bone, or joint problem that could be aggravated by physical activity/exercise? *
Do you have any diagnosed medical condition(s) that may make it dangerous for you to participate in physical activity/exercise? *
Is your doctor currently prescribing any form of medication (e.g. tablets for blood pressure, a heart condition, inhaler etc.)? *
Have you previously been advised by your doctor not to partake in physical activity? *
Please provide any history of injury Sport Ireland Campus Fitness instructors need to be aware of when planning your programme: *
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