Xing Huina Running Club
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Adult Online Running Program
Youth Cross Country
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Recreational Running
Career
About us
Contact
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Xing Huina Running Club Registration
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Xing Huina Running Club Registration
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Step
1
of 2
Participant's Name
*
First
Last
Please fill in your first and last name.
Gender
*
Male
Female
Other
Date of Birth
*
Is the runner under 18 years old?
*
Yes
No
Parent/Guardian Name
*
First
Last
Phone Number
*
Email
*
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Jersey Size
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Height
*
Please enter the number and indicate the unit (ft/in, cm)
Weight
*
Please enter the number and indicate the unit (lb or kg)
Waking Up Heart Rate
Enter heart rate in bpm. To measure, find your pulse on your wrist or neck immediately after waking up, count the beats for 60 seconds (or for 15 seconds and multiply by 4), and record the number.
Average Plank Duration
Selected Value:
0
Enter the average plank duration in minutes.
Other Sports
Mention other sports participated in regularly.
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Have you ever fainted, felt dizzy, or experienced chest pain during or after physical activity?
*
Yes
No
Please answer all the following questions based on the participant’s health conditions.
Have you ever been diagnosed with a heart murmur, arrhythmia, or any other heart condition?
*
Yes
No
Has a doctor ever told you not to participate in sports or strenuous physical activity because of your heart?
*
Yes
No
Does anyone in your family have a history of heart problems, sudden cardiac arrest, or unexplained fainting before the age of 50?
*
Yes
No
Do you experience an unusually rapid or irregular heartbeat during exercise?
*
Yes
No
Have you been diagnosed with diabetes or hypoglycemia (low blood sugar)?
*
Yes
No
Have you experienced symptoms like shakiness, confusion, excessive sweating, or fainting due to low blood sugar during exercise?
*
Yes
No
Are you currently on a special diet or medication to manage blood sugar levels? If yes, please provide details.
*
Yes
No
Please provide details if answer yes
*
sports or answer
Do you have asthma or any other condition that affects your ability to breathe during exercise?
*
Yes
No
Please provide details if answer yes
*
Have you ever experienced shortness of breath that was not due to exertion or environmental factors?
*
Yes
No
Have you had any injuries (e.g., fractures, sprains, or surgeries) in the past six months that might affect your ability to run?
*
Yes
No
Please provide details if answer yes
*
Do you experience pain in your joints, muscles, or bones during physical activity?
*
Yes
No
Please provide details if answer yes
*
Have you ever been diagnosed with a condition that affects coordination, balance, or reflexes (e.g., seizures, concussions)?
*
Yes
No
Please provide details if answer yes
*
Do you have any chronic conditions (e.g., kidney disease, liver disease) that your doctor has warned might limit your participation in strenuous activities?
*
Yes
No
Are you currently experiencing any symptoms that could interfere with running, such as excessive fatigue, frequent headaches, or weakness?
*
Yes
No
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