top of page

PAR Q

IMG_4749.JPG
IMG_4841.JPG

Health Declaration

Please fill out the following form in order to participate in our activity.

Have you been hospitalised in the last 12 months?
Are you suffering from a medical condition, illness, or injury?
Are you pregnant or have you given birth within the last 6 months?
Do you experience any chest or heart pain when exercising?
Do you experienced any dizziness whilst exercising?
Do you experience any asthma or exercised induced asthma?
Do you suffer with high blood pressure?
Do you suffer with low blood pressure?
Do you have any bone or joint problems?
Do you know of any other reasons that may effect your abilty to exercise?

Thanks for submitting!

bottom of page