Adult - Runner Registration Form

runner details

Please complete the following form before attending a Bayside Run Coaching session. All information is confidential and collected for the purpose of communicating with you and providing the best service possible. Your details will not be shared with anyone else.

Name

First Name

Last Name

Email Address

Preferred Phone No.

Postcode

Date of Birth

MM

DD

YYYY

Emergency Contact Name

Emergency Contact Phone No.

What are your motivations, goals, reasons for wanting to improve your running?

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

We often 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.