Copy of GROUPON REDEMPTION Question Title * 1. What is your full name? Please enter the second persons details if applicable Person 1 Person 2 Question Title * 2. What is your full GROUPON Voucher Code/ Number & Security/ redemption code please? (Please enter all details and we will need the voucher sending in once contacted) Question Title * 3. At what email address would you like to be contacted? Please add the second persons email address if applicable Person 1 Person 2 Question Title * 4. What is the park/ venue of choice for your first session? Kirkstall Abbey Temple Newsam Kippax (Brigshaw High school) Roundhay Farsley (Westroyd Park) Drighlington Baildon (Baildon Rugby Club) Huddersfield (All Saints Catholic College) Headingley (Indoors 7.30pm classes only) York Question Title * 5. Preferred starting date? (Month / Date / Year) Monday Date Tuesday Date Wednesday Date Thursday Date Friday Date Saturday Date Sunday Date Question Title * 6. If you use social media and want us to follow you, become a friend or link up please let us know your usernames and details? Twitter @ Instagram Facebook.com/ LinkedIn Google + You tube Question Title * 7. What is the best number to contact you on? Question Title * 8. What is your fitness level out of 10 - 1 been the least and 10 been optimum fitness level Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Fitness Level 1-10 Question Title * 9. Do you have any other comments, questions, or concerns? Question Title * 10. Are you ready to change your life, give it a go, meet new people, have fun and start your health regime? YES I CANT WAIT YES BUT ONLY DOING THIS AS ITS AN OFFER YES BUT I AM SCARED NO BEEN FORCED TO DO THIS NO IM NOT Done