New Athlete Profile Athlete Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth* DD slash MM slash YYYY Health Conditions/Injury History Running Experience (3 or more times a week)* First Time School 0-1 Years 1-3 Years >3 Years 3-5 Years >5 Years 5km Best Time 10km Best Time 1⁄2 Marathon Best Time Marathon Best Time 5km Best Time or NA* 10km Best Time or NA* 1⁄2 Marathon Best Time or NA* Marathon Best Time or NA* Exercise in the last 3 months* 0hrs/week 0-2hrs/week 2-5hrs/week 5-10hrs/week >10hrs/week Availability to Run/Week: 3 Sessions 4-5 Sessions 5-6 Sessions 7 Sessions >7 Sessions Athlete Goals:Program Choice* 5km Program Tuesday Speed Session 10 Pack Saturday Sunrise Session 10 Pack Full Personalised Program - Race 5km, 10km, Half Marathon or Marathon Full Personalised Program - lifestyle goal (eg: run for 30 mins x 3 week) Monday & Wednesday Children's Sessions Children's Cross Country Session Terms and Conditions* You (“the Client”) agree that you have read these Terms and Conditions, Waiver and Privacy Policy and agree that they will apply to all Services provided to you by Start Running Stay Running Pty Ltd ACN 647 265 325.Media Consent You (“the Client”) agree you are at least 18 years in age and consent to images of yourself or your child being used for promotional purposes (including social media) without remuneration and release the Start Running Stay Running Pty Ltd ACN 647 265 325 from any infringement of personal or property rights arising from the use of the material.
