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You have now successfully set up your subscription. If You haven't already, please ensure you fill out the Par Q & consent form and please read and accept our Terms & Conditions.

PAR-Q, Health Declaration and Consent Form

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

General Information
Emergency contact information
Health information
1. Has your doctor ever said you have a health condition or that you should only do exercise reccommended by a doctor?
2. Do you ever feel pain in your chest when you do physical activity?
3. Have you ever had chest pain when you were not doing physical activity?
4. Do you ever feel faint or have spells of dizziness?
5. Do you have any problems with your joints that could be made worse with exercise?
6. Have you ever been told that you have high blood pressure?
7. Are you taking any medication that the instructor should be made aware of?
8. Are you pregnant/had a baby in the last 4 months?
I consent this information to be stored privately on our website for admin purposes only (your info will not be given to any third parties)
I consent that my/my childs photo to be taken when participating in our martial art classes, gradings and or tournaments and for those photos to potentially be used for club promotion on our website and social media pages

Thanks for submitting!

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