Please complete a health screening questionnaire for each child attending a Kids Running Session. So that we can plan something awesome for the, please fill it in a few days before they are due to see us.

Kids Running: Health Screening and Parental Permission

This form needs to be completed by a parent or guardian for each child participating in Hooked on Running's Kids Running and Sports Training sessions.

* Required

Child's Name *

Your answer

Child's Age (in yrs and months) *

Your answer

Your First Name *

Your answer

Your Last Name *

Your answer

Contact in case of emergency - name *

Your answer

Emergency Contact Number *

Please be sure to give a phone number on which we can contact someone when your child will be at athletics training

Your answer

Street Number and Name *

Your answer

Suburb *

Please be sure to give a phone number on which we can contact someone when your child will be at athletics training

Your answer

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