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Registration

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* 1. Full Name (First and Last)

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* 2. Email Address

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* 3. Rate your current level of fitness on a scale from 0-10

0 10
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 4. Rate your running experience on a scale from 0-10

0 10
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 5. Describe your recent running/sport/exercise experience

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* 6. Please select any of the following medical issues which may impact on your training

  Yes No
Blood Pressure, stroke or blood disorders
Heart Problems
Current Injuries
Recent Operations
Diabetes on Insulin
Musculoskeletal Issues
Current Medications
Other

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* 7. If you answered yes to any of question 10, please provide a brief description

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* 8. What is motivating you to engage in this running program?

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* 9. Which event at Cairns 50 are you planning on running?

Within 48 hours of completing the registration survey, you will receive a confirmation email with further details regarding the Cairns 50 program. Congratulations on signing up!!
0 of 9 answered
 

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