Junior - Runner Registration Form

Junior runner details - to be completed by a parent / guardian

Please complete this 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. Personal details will not be shared with anyone else.

Junior's Name

First Name

Last Name

Postcode / Suburb

Date of Birth

MM

DD

YYYY

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

Parent / Guardian Name

First Name

Last Name

Parent / Guardian Email Address

Parent / Guardian Phone No.

Does your child regularly play other sports? Which ones?

What are your child's motivations, goals, reasons for wanting to improve their 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 your child with an awesome run coaching experience from our accredited run coaches. All our coaches hold current Working With Children Checks. 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 child's ability to run.

I have read and agree with this statement

Thank you for completing your child’s runner registration. If you have any questions or would like to contact us, please call Coach Jim on 0450 379 810.