Couch2Green registration form

You can use this form to register for Part 2 of the Couch 2 Green course.

Please note that Part 2 of the course is only suitable for people with some basic knowledge of orienteering techniques. If you're not sure if you have sufficient knowledge, please contact CLOK's Club Development Officer, Mary Fleming.

Once you have completed the form, click on the Submit button at the bottom. You should then see an acknowledgement page that includes details of how to pay the course fee by bank transfer. Please make a note of the bank details before closing that page! If you don't see the acknowledgement page, or if you have any other problems with the form, please contact the CLOK webmaster.

Name
Mobile phone
Email address
Date of birth	/ /
Are you a student?
Are you a CLOK member?
Are you new to running? Note: Being completely new to running isn't a problem. This course is very suitable for complete newcomers.	Do you do any running now? Have you done any in the past?
Please describe your orienteering experience.	What orienteering have you done? When did you do it?
Do you have any injuries that may affect your ability to run or jog?	If you have any injuries, please give a brief description of what they are and how they affect your ability to run.
Do you have any health conditions that may affect your ability to exercise? Note: Your responses are unlikely to affect your ability to participate in the course, but we may need to ask for more details so that we can ensure that you are cared for. Please be as honest as possible.	Please give a brief description of any relevant health conditions, including such things as pregnancy (current or within the last 12 months), a heart condition, high or low blood pressure, a chronic illness or condition, a hernia, recent surgery (within the last 12 months), allergies, diabetes, asthma, clinical obesity, etc.
What is your main reason for joining the course?
How did you find out about the course?

You can use this link to go to the CLOK web site home page.