Register

Welcome on Board!

We are delighted you want to join us for a walk!

To speed up the registration on your first day – please fill out the registration form below.

Or, if you prefer printing it out, filling and bringing with you on the day – click here.

Registration Form

Full Name

Address

Email

Would you like to sign up to our mailing list to receive news and information about upcoming walks? Would you like to sign up to our mailing list to receive news and information about upcoming walks? Yes No

Mobile Number

Age

ICE No. (In Case of Emergency) Name

ICE No. (In Case of Emergency) Mobile

Which group is nearest to you? Which group is nearest to you? Clogheen Clonmel Ardfinnan Inch Nenagh Moyne Slieveardagh MBL (Moycarkey, Borris, Littleton) Carrick-on-Suir None of the above

Do you have WhatsApp installed on your phone? Do you have WhatsApp installed on your phone? Yes No

Has a doctor ever said you have a heart condition? Has a doctor ever said you have a heart condition? Yes No

Do you feel pain in your chest when you do physical activity? Do you feel pain in your chest when you do physical activity? Yes No

Do you ever lose balance because of dizziness or ever lose consciousness? Do you ever lose balance because of dizziness or ever lose consciousness? Yes No

In the past month, have you had pain in your chest when you were not doing physical activity? In the past month, have you had pain in your chest when you were not doing physical activity? Yes No

Do you have a bone or joint problem that could be made worse by a change in your physical activity? Do you have a bone or joint problem that could be made worse by a change in your physical activity? Yes No

Do you know of any reason why you should not do physical activity? Do you know of any reason why you should not do physical activity? Yes No

How many minutes of activities per week did you do before joining Siul Eile walks? How many minutes of activities per week did you do before joining Siul Eile walks? Less than 1 hour Between 1 and 3 hours Over 3 hours

Please answer if you're re-registering: How many minutes of activities per week you do since joining Siul Eile walks? Please answer if you're re-registering: How many minutes of activities per week you do since joining Siul Eile walks? Less than 1 hour Between 1 and 3 hours Over 3 hours

I understand that by answering 'Yes' to any of the above questions that I should consult my G.P. before taking part in this walk or walking program. I agree to tell the walk leader if there is any change in my medical condition. I understand to wear appropriate clothing and footwear. I understand that I walk at my own risk. I understand that by answering 'Yes' to any of the above questions that I should consult my G.P. before taking part in this walk or walking program. I agree to tell the walk leader if there is any change in my medical condition. I understand to wear appropriate clothing and footwear. I understand that I walk at my own risk. Yes, I understand.

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