Disclaimer - Stoke F.I.T. - #letsgetbettertogether

Before you run with Stoke F.I.T. we must have essential health & safety details from you so that we can help to keep you safe during your runs.

Please take 2 minutes to fill in this form.

Thank you, and happy running.

Today's date; *

Name *

First

Last

House number & street *

Address line 2 *

Address line 3 *

Post code *

Email *

Confirm Email

Emergency contact *

First

Last

Emergency contact number *

Medical conditions *

List medical conditions *

Any other issues? *

Disclaimer *

I am responsible for seeking medical permission before participating in any exercise regime.
I am aware that I am solely responsible for monitoring and controlling my health conditions.
I can stop participation at any time and make my own way back to the club at my own request.
I will follow all requests given by run leaders.
I will represent Stoke F.I.T. with correct and decent etiquette at all times.
I agree to contents of this form being shared with Stoke F.I.T. leaders and committee for safety reasons.
I will keep Stoke F.I.T. admin aware of any changes to these details.

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