6 Week Run Challenge - Summer 2025

registration form

Please complete the following form to confirm your registration for the 6-Week Run Challenge program - Summer 2025.

Name

First Name

Last Name

Email Address

Preferred Phone No.

Postcode

Date of Birth

MM

DD

YYYY

Emergency Contact Name

Emergency Contact Phone No.

Location

Which venue will you be attending?

Are you able attend both weekly sessions?

If you can only attend one session per week, which session can you attend?

Are there any medical issues we should know about that may impact on your running?

We sometimes use photos of our clients in our information and promotional communication.

I'm ok with this

I'd rather you didn't

Please note: Bayside Run Coaching will endeavour to provide you with an awesome run coaching experience from our accredited run coaches. Whilst we will minimise risks, running can be a hazardous activity and we recommend you seek medical advice if you have issues that may impact your ability to run.

I have read and agree with this statement

Thank you for registering. If you have any questions or wish to contact us, please call Coach Jim on 0450 379 810.