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Smurf Endurance Sports - Run Program
Registration
*
1.
Full Name (First and Last)
(Required.)
*
2.
Date of Birth
(Required.)
*
3.
Gender Identity
(Required.)
Female
Male
Non-Binary
Other
Prefer not to disclose
*
4.
Contact Number
(Required.)
*
5.
Email Address
(Required.)
*
6.
Emergency Contact
(Required.)
Name
Number
*
7.
Rate your current level of fitness on a scale from 0-10
(Required.)
0
10
Clear
*
8.
Rate your running experience on a scale from 0-10
(Required.)
0
10
Clear
*
9.
Describe your recent running/sport/exercise experience
(Required.)
*
10.
Please select any of the following medical issues which may impact on your training
(Required.)
Yes
No
Blood Pressure, stroke or blood disorders
Yes
No
Heart Problems
Yes
No
Current Injuries
Yes
No
Recent Operations
Yes
No
Diabetes on Insulin
Yes
No
Musculoskeletal Issues
Yes
No
Current Medications
Yes
No
Other
Yes
No
11.
If you answered yes to any of question 10, please provide a brief description
*
12.
What is motivating you to engage in this running program?
(Required.)
*
13.
What events/races are you planning to participate in for this program?
(Required.)
14.
Do you have a preference of coach for your program?
Josh
Kryssi
No Preference
Now you have completed the sign up survey, please head click
THIS LINK
to purchase your membership.
Within 24 hours of completing the registration survey, you will receive a confirmation email with further details. Congratulations on signing up!!
Current Progress,
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