Registration form

Please fill in all parts of this form.
Name Date of Birth Address E-mail Confirm E-mail Phone
This program will run for 12 weeks, can you commit to the whole program?
Yes
No
Are you available between 9-11am on Saturday April 12th 2025 for your 5K celebration run?
Yes
No
At the end of the 12 weeks we would love to welcome you into the main club. Is this something you'd be interested in? (This is just so we can plan for the coming year)
Yes
No
Maybe, I'm not sure yet!
What is your main motivation to join?
Get fitter / healthier
Lose weight
To take up running for the first time
For my mental health
To meet new people / make friends
Have you ever ran before?
I have never ran before
Not since School
I used to run a little
I was a club runner but haven't ran in a long time
We love to use Social Media to promote our club. Are you happy for us to use your photos and videos on our Social Media channels and local press?
Yes
No
Let us know your Social Media Handles I agree to the Terms & Conditions and Privacy Policy Submit

Jog Scotland Larkhall

Fill in the registration form to join us for our first ever Jog Scotland Larkhall Couch to 5k group. 
We expect this to be oversubscribed and we will need to cap numbers for safety reasons. 
We recommend signing up without delay as once we reach the maximum number, sign up will be closed.