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Sofa to 5k Sign Up 2024

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Please fill in the details below. The mobile number will be used to add you to a "Sofa to 5k" Whatsapp group.

Your Details

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Name *

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Date of Birth *

Email *

Telephone number (Mobile) *

Emergency Contact Name *

Emergency Contact Number *

Medical Information

Please detail below any important medical information answer, such as heart conditions, epilepsy, asthma etc . If you have any questions please ask for advice from the one of the Welfare Officers *

Has a Doctor ever advised you not to exercise ? *

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Have you got a medical condition that may get worse when running ? *

I confirm that the details provided are correct and it is my responsibility to notify Caerphilly Runners (CR) of any changes. I also agree to CR using my personal details for internal Club communication and announcements. CR will not pass these details on to any third party. I also confirm that I fully accept and understand that any activity I participate in, arranged by CR, I do so entirely at my own risk and also understand and agree that CR cannot police or monitor the taking of photographs at open events and public venues and is therefore my responsibility to approach the publisher of any media to request its disuse and removal. *

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Signed *

Today's date *

Please tick the box below to confirm that you are aware of our club safeguarding policies and procedure. https://www.caerphillyrunners.wales/safeguarding.html *

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Sofa to 5k Sign Up 2024

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