ST Theresa's AC - Improvers Course
Starting Thursday 28th June @ Temple Newsam
Email Claire - training@sttheresasac.org.uk
Important Information
This course is run in conjunction with UK Athletics by qualified Leaders in Running Fitness and we need to obtain information from you particularly with regard to your health. Leeds Athletic Network ask that we give them feedback on the success of the course and no information other than your name and age will be disclosed to them without your prior consent.

The course fee is £10, and should be paid via PayPal from the Club Store once you complete this application form. Your place on the course is not confirmed until payment received.

Link to Club Store http://www.sttheresasac.org.uk/shop-2/ Improvers Course is at the bottom of the page.

Please contact us by email if you have any difficulty with this. Please also note group photos will be taken on the course - if you would rather not be part of any photo please simple step aside when these are taken.

First Name *
Your answer
Surname *
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
Town/City *
Your answer
Postcode
Your answer
Contact Number *
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
How did you find out about the group?
Your answer
What would you like to get out of the group?
Are you currently involved in other form/s of exercise
If Yes, what type and how often?
Your answer
Have you done any running before?
If Yes, what type and how often?
Your answer
Do you have any health considerations we ought to know about?
If Yes, please explain.
Your answer
Do you suffer from any of the following:
Running Group Leaders are qualified leaders and are willing to share their experience and enjoyment of the sport with me. I confirm that I understand that participation in this group is entirely at my own risk and should consult my own doctor if suffering from any condition that might make running injurious to my health. *
Required
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