Registration - RunVive

Registration Form

Please complete the form to register.

Use a strong password. Minimum of 8 characters, include at least 1 number and 1 special character like @$!-?().

First Name

Last Name

Username

Email

Password

Regular exercise is associated with many health benefits, yet any change in activity may increase the risk of injury. Please read each question carefully and answer every question honestly.

Do you have any pre-existing medical conditions?

Yes No

Do you have a respiratory condition?

Yes No

When doing pyhsical activity to you experience any pain or tightness in your chest?

Yes No

Do you ever lose balance or consciousness because of dizziness or light headedness?

Yes No

Do you have a joint or bone condition or problem?

Yes No

Are you pregnant or postpartum?

Yes No

Any other medical issues?

* By submitting this form you declare that you have completed this questionnaire honestly. You agree you will inform RunVive Coaching if there are any changes in your circumstances. You agree to take part in any recommended programme entirely at your own risk and waive any legal recourse for damages to yourself or property arising from your participation.