NAME
ADDRESS
PAR-Q FORM
Has your doctor ever said you have a heart condition?
Have you ever had pains in your chest?
Do you experience spells of dizziness, feel faint or lose consciousness?
Has your doctor ever said that your blood pressure is too high?
Has your doctor ever said that you have joint or bone problems?
Do you have any problems that may be aggravated by exercise?
Are there any reasons, you are aware of, that might prevent you from exercising safely?
YES / NO
If you have answered "Yes" to any of the above questions, consult your doctor before exercising and speak to a member of staff.
CONFIRM

SHOULD ANY OF THESE ANSWERS CHANGE YOU MUST ADVISE THE WAREHOUSE GYM BEFORE ATTENDING YOUR NEXT TRAINING SESSION. IN CONSIDERATION OF BEING ALLOWED TO USE THE FACILITIES/EQUIPMENT UNDER THE CONTROL OF THE WAREHOUSE GYM, I DO HEREBY WAIVE RELEASE AND FOREVER DISCHARGE THE WAREHOUSE GYM AND ITS STAFF FROM ALL RESPONSIBILITIES OR LIABILITIES FROM ANY INJURIES RESULTING FROM MY USE OF ITS EQUIPMENT. I WAIVE ANY RIGHTS TO CLAIMS OR DAMAGES I MAY HAVE AGAINST THE WAREHOUSE GYM OR ANY OTHER ORGANISATIONS THE WAREHOUSE GYM MAY ASSOCIATE WITH DURING MY PARTICIPATION IN ANY ACTIVITY WITH THE WAREHOUSE GYM.

SIGNATURE