Contact Information

* 1. What is your last name?

* 2. What is your first name?

* 3. What is your age?

* 4. Where do you live?

* 5. What is your gender?

* 6. What is your mobile number? (please don't put in spaces or brackets eg 0868420203)

* 7. What is your email address?

* 8. How did you hear about Carndonagh Operation Transformation?

* 9. Would you use a Children's Youth Club if it was on at the same time as the training?

* 10. Have you used Spraoi agus Spórt's services before?

* 11. Would you consider becoming one of our 5 Leaders? (receive a weekly weigh-in, nutritional & fitness advice) 

* 12. Please give details of any health issue(s) that you feel could have an impact on your ability to exercise.

* 13. Please give details of any prescribed medication that you are taking for a health issue(s) that you feel could have an impact on your ability to exercise.

* 14. Please provide any other information that you feel is relevant.

* 15. I confirm that I have completed the above questionnaire to the best of my knowledge.  I have provided accurate information regarding my current health status.  I take it upon myself to discuss any changes in my health with the Coaches of the "Carndonagh Operation Transformation" programme and/or a qualified medical professional.

I understand that any exercise programme has certain risks.  The degree of risk depends on my health and physical fitness. I am voluntarily participating in the "Carndonagh Operation Transformation" programme.  I will immediately discontinue any activity if feeling unwell.  I will notify a member of the coaching team and seek medical advice/treatment if required.  In this respect, I hereby indemnify Spraoi agus Spórt and the Coaches of the "Carndonagh Operation Transformation" programme.

I understand that photographs/video will be taken during, or at this programme.  These photographs/videos may be used in the promotion of the "Carndonagh Operation Transformation" programme.

* 16. Thank you for registering for the Carndonagh Operation Transformation programme, we will be in touch soon with further details.  In the meantime please feel free to contact us on 086 8420 203.

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