Worcester Outdoor Fitness

Personal training - Boxing Fitness - Bootcamps - Martial Arts

Worcester Outdoor Fitness

Personal training - Boxing Fitness - Bootcamps - Martial Arts

HEALTH FORM/PARQ

Physical Activity Readiness Questionnaire - PAR-Q In consideration of being allowed to participate in the activities and programmes of Worcester Outdoor Fitness and to use the facilities and equipment owned and/or under the control of Worcester Outdoor Fitness. l do hereby waive, release and forever discharge Worcester Outdoor Fitness from any and all responsibility or liability for injuries or damages resulting from my participation in any activities or my use of equipment or facilities in the above mentioned activities. I am aware that I have the right to request advice from any of the Worcester Outdoor Fitness trainers, at any time, in relation to the activities and exercise being undertaken and, but not exclusively, their suitability for me, with particular regard to my health and clothing. If I choose not to take advice, or to disregard any advice so given, I do so voluntarily and accept liability for all resulting injuries or damage. I understand and I am aware that strength, flexibility and aerobic exercise, including the use of equipment, in the outdoors, are potentially hazardous activities. I also understand that exercise and fitness activities involve a risk of injury and even death. I am voluntarily participating in these activities and using equipment and facilities with the knowledge of the dangers involved. I hereby agree to expressly assume and accept all and any risks of injury or death. I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease or infirmity or other illness (other than those declared on the attached medical questionnaire) that would prevent my participation or use of equipment or facilities except as herein stated. I acknowledge that I have either had a physical examination and have been given my doctors permission to participate, or that I have decided to participate in activity and use of equipment and machinery without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of equipment and machinery in my activities.

Print Name_________________________________Signature_______________________________

Date_____________________Please bring this completed PAR-Q to your first session. You will not be allowed to take part in a session without a completed and verified form.