New Member Induction Please complete this form before your first session with the club. Asterisk items are compulsory Personal Details Please Include a Photo Date you plan to attend* Name* Address* Post Code* Phone Number* Email* Date of Birth* Emergency Contact Name Emergency Contact Tel Medical Details Heart Condition Diabetes Asthma/Respitory Disease Joint/Back Problems Pregnant Last 6 months If you any of the above apply, please provide details below, including any medication you use, or any other issues Exercise Experience Run as part of regime Use a gym Exercise classes Cycle Other experience Racing Experience Don't worry if you have never raced before, this is just to give us an idea of which group will be most appropriate for you. No experience 5k 10k Half Marathon Marathon Charity Event If any of the above apply, please give times here I understand that the training sessions are physically demanding and accept full and complete responsibility for my participation. I agree to hold Wootton Road Runners and their group leaders free and harmless of any and all liability for any injury or health problem that may result from or be aggravated by my participation in the sessions. Click to acknowledge
