REGISTER FOR LOVE2RUN

Name

Email Address

Address

Phone Number

Which day/s would you like to attend? Which day/s would you like to attend? Monday 7:30am - Otumoetai Intermediate School Monday 9am - Beginners (Fergusson Park) Monday 6pm - Development Group (Omokoroa) Tuesday 6:30pm - Beginners (Omokoroa) Thursday 7:45am - Katikati College Friday 9am - Mums that Run

What is your running experience/background?

What do you want to achieve from this running programme?

Have you entered any upcoming events. If yes please give details:

What other activities do you do and how much time do these take up?

Do you have a SMART watch to record running data? Do you have a SMART watch to record running data? YesNoMaybe

Age Range Age Range Under 20 20-29 years 30-39 years 40-49 years 50+ years

Medical Information:

Is there anything else you would like me to be aware of?