C25K - Confirmation Form
This form is to confirm your participation and agreement to the terms and conditions as outlined in this form.
First/Last Name *
Email Address *
Phone Number *
Age Group *
Thank You!
Thank you for supporting the upcoming Couch to 5K programme.

We have had a huge uptake on the programme and are going to run two sessions as a result. Sessions will be run as 4 pods of 15, two pods of 15 at 7pm and two pods of 15 at 7.30pm on Wednesday, and at 10am and 10.30am on Sunday.

Unfortunately we still may not be able to accommodate all the people who expressed an interest in the programme so places will be assigned on a first come first serve basis to the first 60 people who send back the attached form completed.
We will email you your start time.

Please wear a high vis vest, suitable running attire and bring water to stay hydrated. Also please wear your mask and keep 1 meter distance while waiting in your group before commencing the session.

We are asking participants to bring a donation for Mary Mount Hospice. Please bring this with you on the first evening in an envelope.
Adherence to Covid Guidelines: I agree to adhere to HSE guidelines as set out in relation to Covid 19 and will not attend any couch to 5K training session if :- 1. anyone in my household has Covid 19 or 2. symptoms of Covid 19 in the previous 24 hours before a training session - fever, high temperature, persistent cough, breathing difficulties/shortness of breath. 3. I believe I may have Covid 19 or have been told to isolate, 4. have travelled to any country that requires self isolation on return in past 10 days before a training session. *
Required
Health & Safety certify: I am fully capable of participating in this activity and accept full responsibility for myself and for any injuries I may sustain in this activity. I acknowledge that I do not place any responsibility on Glanmire Athletics Club or the organisers of this event for any injuries incurred as part of my participation in this event. *
Required
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