Application form

Thank you for expressing your interest in being involved in our research program.

By submitting this application, you agree to be contacted by one of our staff to further assess your eligibility for participation.

1. Your details

Name

Gender

D.O.B.

Email Address

Telephone

Shoe Size (US)

Main Sport(s)

To help us determine your eligibility for certain research projects, please provide the following details:

2. Additional details

Height (cm)

Body Mass (kg)

Avg run distance per wk (km)

Do you have any current foot skin conditions? If YES, provide details. Have you sustained a lower limb injury in the past 3 months? If YES, provide details. Have you previously had foot surgery? If YES, provide details.

Questions, call : The Biomechanics Lab Research Centre on 08 7130 0130

Application form

Thank you for expressing your interest in being involved in our research program.

1. Your details

2. Additional details

Clinic

Contact