Smurf Endurance Sports - Run Program

Registration

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1. Full Name (First and Last) (Required.)

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2. Date of Birth (Required.)

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3. Gender Identity (Required.)

Female

Male

Non-Binary

Other

Prefer not to disclose

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4. Contact Number (Required.)

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5. Email Address (Required.)

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6. Emergency Contact (Required.)

Name

Number

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7. Rate your current level of fitness on a scale from 0-10 (Required.)

Clear

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

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8. Rate your running experience on a scale from 0-10 (Required.)

Clear

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

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9. Describe your recent running/sport/exercise experience (Required.)

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10. Please select any of the following medical issues which may impact on your training (Required.)

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

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

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12. What is motivating you to engage in this running program? (Required.)

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13. What events/races are you planning to participate in for this program? (Required.)

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14. Do you have a preference of coach for your program?

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!!

Smurf Endurance Sports - Run Program

Registration

Question Title

* 1. Full Name (First and Last) (Required.)

Question Title

* 2. Date of Birth (Required.)

Question Title

* 3. Gender Identity (Required.)

Question Title

* 4. Contact Number (Required.)

Question Title

* 5. Email Address (Required.)

Question Title

* 6. Emergency Contact (Required.)

Question Title

* 7. Rate your current level of fitness on a scale from 0-10 (Required.)

Question Title

* 8. Rate your running experience on a scale from 0-10 (Required.)

Question Title

* 9. Describe your recent running/sport/exercise experience (Required.)

Question Title

* 10. Please select any of the following medical issues which may impact on your training (Required.)

Question Title

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

Question Title

* 12. What is motivating you to engage in this running program? (Required.)

Question Title

* 13. What events/races are you planning to participate in for this program? (Required.)

Question Title

* 14. Do you have a preference of coach for your program?

1. Full Name (First and Last) (Required.)

2. Date of Birth (Required.)

3. Gender Identity (Required.)

4. Contact Number (Required.)

5. Email Address (Required.)

6. Emergency Contact (Required.)

7. Rate your current level of fitness on a scale from 0-10 (Required.)

8. Rate your running experience on a scale from 0-10 (Required.)

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.)

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?