DRC Walk2Run 2020 Registration Form
Please read Walk2Run course overview and FAQ's before submitting this form.

If you sign up we would like to commit to coming along for the whole 12 weeks, please.
 
You must be 18 or over to join Walk2Run.

Walk2Run Evaluation Morning is Saturday 4th January 2020 at 10.30am

Walk2Run will run for 12 weeks every Tuesday evening from Tuesday 7th January until Tuesday 24th March 2020, meeting at the club at 17.55.

On Saturday 28th March 2020 we will be all doing a parkrun, it will be great if you could join us.

If you have any questions please contact Damian at drcwalk2run@gmail.com
Sign in to Google to save your progress. Learn more
Email *
1. Personal Details
First Name *
Surname *
Address *
Postcode *
Home Telephone Number *
Mobile Telephone Number *
Do you have a Facebook account? *
This is so we can share information about the weekly runs to the group
Next of Kin Name *
Person to call in case of emergency
Next of Kin Telephone Number *
2. Medical Information
Do you suffer from any of the following?
Please give details of above and advise of any other medical conditions that we should be made aware of.
3. Relevant Experience
Have you done any running before *
Please give details of any previous running experience? *
If you have done any running before approximately how many miles on average per week have you ran for the last 2 months? *
The answer to this question will help us determine your suitability for the Walk2Run 2017 Programme.
Are you involved in any other form of physical exercise? *
If yes, please give details.
Other Information
Where did you find out about the programme? *
What would you like to get out of the programme? *
Required
4. Disclaimer
Running Group Leaders are qualified leaders and are willing to share their experience and enjoyment of the sport with me.

I confirm that I understand that my participation in this group is entirely at my own risk and I should consult my own doctor if suffering from any condition that might make running injurous to my health.
Electronic Signature *
By typing your name here and submitting the registration form, you are agreeing to the above disclaimer.
Next
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