Walk the Talk 2022 Registration Form

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Join Emma & Stefan from our Health & Wellbeing 'Actively Well' team for a guided walk around campus and surrounding areas.
The following details are required from all participants to ensure that we are running a safe programme for everyone.
Please meet Emma or Stefan outside the General Library at City Campus on Wednesdays at 12.05pm.
Please wear comfortable walking clothes and footwear for a 35-45min walk (weather dependent).

Full Name *

UOA ID# *

Email Address *

Gender

Female

Male

Gender Diverse

Prefer not to say

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Are you a current Recreation Centre Member? *

Yes

Emergency Contact - Name *

Emergency Contact - Phone *

Do you have any existing medical conditions? - if so please note.. *

Do you have any recommendations for walking routes in the local area?

Thanks for completing the Walk the Talk registration form!

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