REGISTER - Stoke F.I.T. -

New User RegistrationChoose a Username*

Password*

Are you joining for the first time or renewing your existing membership?*

Today's date*

Base location*

Title*

First Name*

Last Name*

Date of Birth (dd/mm/yy)*

Address 1*

Address 2*

City*

County*

Postcode*

Email*

Mobile Telephone*

Are you a member of another running club?*

If yes, please state

As part of your involvement with StokeF.I.T. we would like to send you our newsletter which has details of member benefits, such as special offers on kit, as well as other news and information that we believe will be of interest and benefit to you as you progress your running and fitness. We will also give you the opportunity to give feedback on your experiences. Would you like to receive news and information from us about the world of running and fitness?*

We would like to give you the opportunity to give feedback on your experiences in running. Would you agree to being contacted by a third party, on behalf of StokeF.I.T., as part of the monitoring and evaluation of this project? Your personal details may be divulged to, or shared with,a third party, appointed by us/StokeF.I.T., purely for use in measuring the impact and success of this project.*

Are you first aid trained?*

Are you diabetic?*

If you need it, do you have permission from a health proffessional to exercise?*

I am aware that it is solely my responsibilty to ensure I am adequately warmed up prior to exercise.*

I agree for my details to be shared between the leadership and management teams so that the appropriate people are aware of anything and everything that they need to be.*

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