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We appreciate you taking some time to answer a few questions about yourself.
Personal Details
Title:
*
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Mr
Mrs
Miss
Ms
Dr
Rev
First Name:
*
Last Name:
*
Date of Birth
*
month
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February
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day
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Email:
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Phone:
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Mobile:
Gender:
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Male
Female
Address
Address 1:
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Address 2:
Address 3:
Town/City:
Postcode:
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Your iceFitness Sessions
Preferred Rink:
*
Altrincham
Cannock
Session Length:
2 hours
1.5 hours
1 hour
45 min
30 min
Other (please specify)
What is the optimal length of session for you?
Session Length (Other):
Preferred Session Time
Weekday (Mon-Fri):
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Morning (07:00-09:00)
Afternoon
Evening
Weekend (Sat-Sun):
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Early Morning (07:00-09:00)
Late Morning (09:00-10:00)
Afternoon
Evening
Have You Skated Before?:
No
Yes, public skating sessions
Yes, recreational hockey
Yes, figure skating / ice dance
When was it the last time you skated?:
Level of Confidence on Ice:
High
Fairly High
Middling
Fairly Low
Low
Your Fitness Level:
Low: really need to get into shape
Fair: I do some exercise, but not regularly
Good: I exercise regularly at least 3-4 times a week
Excellent: I am regularly training for a sports activity
Injuries or Health Considerations:
Your Shoe Size:
Questions or Comments:
What is Ice Fitness?
Why Ice Fitness?
Benefits and Goals
Programme Modules
Session times
Registration Form