Try 3 run sessions for free and see if it’s right for you

There’s no commitment, pressure, or obligation.

Simply fill in the form below and we’ll look forward to meeting you at a run session soon

Name

First Name

Last Name

Gender

Male

Female

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(####) ######

Email Address

Sport / Running History

A brief description of your sporting history and current running ability.

Participant Screening

Do you suffer with any of the following?(Yes or No): Do you have a heart condition or have been told not to exercise by a doctor? Do you feel or have ever felt chest pain when performing physical activity? Do you feel faint or lose your balance because of dizziness? Do you have a bone or joint problem that could be made worse by exercise? Have you been told you have high blood pressure? Are you currently taking any form of medication for high blood pressure or a heart condition? Do you have any form of underlying illness, such as? • Asthma • Epilepsy • An immune deficiency Are you pregnant or have had a baby in the last six months? Do you know of any other reason why you should not do physical activity? If answering 'yes' to any of the above questions, please seek further medical advice from your GP prior to participation. Please inform us below of any medical conditions or injuries that may be relevant prior to attending a club event or training session. This information is held in the strictest confidence and we ask this only for your own welfare, and the welfare of other partcipants.

Emergency Contact

Emergency Contact Number

(####) ######

Relationship

Declaration

On the date of submitting this form, I declare I am above the age of 18

I am over 18

Photography

I grant permission to North Endurance, its affiliates and sponsors full rights to use the images resulting from the photography/video filming of club sessions for any purpose but not limited to promoting, advertising and marketing purposes.

I Consent

Waiver

I agree not to participate unless I am medically and physically able, which I am solely responsible to determine. I assume all risks associated with participation and my future participation in group sessions, including, but not limited to, slips, falls, contact with other participants, negligent or wanton acts of other participants, any defects or condition of premises, the effects of the weather including high heat, cold temperatures, storms and/or humidity, all such risks being known, assumed and appreciated by me. To the extent permitted by law I hereby agree that I shall not hold any session leader, coach or North Endurance responsible for any injury, loss or illness incurred to my person or my property during or as a result of my participation in group training sessions run by or in conjunction with North Endurance, howsoever caused, whether by negligence or otherwise. I consent to emergency medical care and transportation in order to obtain treatment in the event of injury to me as medical professionals may deem appropriate. This Assumption and Release extends to any liability arising out of, or in any way connected with, the medical treatment and transportation provided in the event of an emergency. Participants are expected to exhibit appropriate behaviour at all times, including obeying all laws. This includes respect for all people, and cooperative, positive participation.

I Accept

Privacy

North Endurance values your privacy. We will never pass your personal details to any third parties unless it is critical for the execution of a session emergency action plan. Please allow us to send you update emails in relation to the organisation of Run Club sessions.

Allow emails relating to Run sessions