Couch to 1km Registration

Name

Phone

Email Address

Street Address

Apartment, House Number, House Name.

City/Town

County

Postal CodeV95 E***

Country

Are you aware, through your own experience or a doctor’s advice, of any other reason why you should not take part in physical activity or sport without medical approval? If you answer yes to this question, we will need you to supply us with a letter from your doctor stating that it is ok for you to join this programme.

How many days in the past week have you be active for 30 minutes or more (going walk/run, cycle, gym etc) Work does NOT countHow many days in the past week have you be active for 30 minutes or more (going walk/run, cycle, gym etc) Work does NOT count

GDPR Statement : Your privacy is important to us, and we want to communicate to you with your consent, and which is in line with EU law on data protection (GDPR). Your information will be stored on our system for the duration of this programme and will be permanently deleted 30 days after the programme concludes. If you wish to hear more about our future initiatives, please sign up for our newsletter at the bottom of our website - https://claresports.ie/GDPR Statement : Your privacy is important to us, and we want to communicate to you with your consent, and which is in line with EU law on data protection (GDPR). Your information will be stored on our system for the duration of this programme and will be permanently deleted 30 days after the programme concludes. If you wish to hear more about our future initiatives, please sign up for our newsletter at the bottom of our website - https://claresports.ie/

For all our programmes, we like to take photos and/or videos of the programme. We use these captures on our website, social medial, press releases, publications, reports etc. Do you consent that we can capture your image for use in such cases?For all our programmes, we like to take photos and/or videos of the programme. We use these captures on our website, social medial, press releases, publications, reports etc. Do you consent that we can capture your image for use in such cases?

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Couch to 1km Registration

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