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Begin2Sorts Group Activity Registration
Begin2Sports Group Ltd
Wandsworth
London
SW18
http://www.begin2sportsgroup.com
Participant Information
First Name
Last Name
Gender
M
F
Birth Date
+
Category
*
under 10
10-12
13-15
15 -17
20 - 30
30-45
45-55
56-70
56-70
45-55
30-40
30-40
41-50
51 - 60
61 - 70
71 - 80
81 - 90
over 90
Are you with any local club?
*
Yes - I am with an athletics club
No - I am not with any club
What is the name of the Athletics Club?
Wimbledon Hercules Athletics Club
None of the above
Hernhill Harriers
Belgrave Harriers
Do you do any other sports
*
Yes 1 sport
Yes 1-2 sports
Yes 3-5 sports
None
Reason for want to train
*
To Compete
For recreation purposes
To make new friends
To have fun
All of the above
What program are you interested in?
Sports Coaching
Athletic Coaching
Performance analyses
Biomechanical, physiological and Psychological Testing
Personal and Sport Counselling
Life-Skills Coaching/Mentoring
Sports Massage Therapist
Hospice Biography editor
Nutritionist
Personal Fitness Instructor for the Elderly
Diversional Therapist
Anthropometry - Skin-fold measurementGym Instructor
Personal fitness trainer
Personal/family Counselling
Dyslexia and Dyspraxia Personal Fitness InstructorAthletics and multi-Sports
Running Technique in Athletics
GymLetics intervention
DysLetics intervention
Mini Foot-stars
Strengthening and conditioning
GymLetics Fun Group
DysLetics Fun group (ABC)
and more
and more
Adult Primary Contact
Relationship to Participant:
*
Self
Mother
Father
Guardian
Other
Other
First Name
*
Last Name
*
Address 1
*
Address 2
Town
*
City
*
Post code
*
Phone
*
Next of kin Phone number
*
Email Address
*
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