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SONA Gym Manual PAR-Q/ Waiver
SONA Gym Manual PAR-Q/ Waiver
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Thank you for your response. ✨
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by the Doctor?
(required)
Select
Yes
No
Do you Feel pain in your chest when you perform physical activity?
(required)
Select
Yes
No
In the past month, have you had chest pain when you were not performing any physical activity?
(required)
Select
Yes
No
Do you lose your balance because of dizziness, or do you ever lose consciousness?
(required)
Select
Yes
No
Do you have a bone or joint problem that could be make worse by a change in your physical activity?
(required)
Select
Yes
No
Is your doctor currently prescribing any medication for your blood pressure or a heart condition?
(required)
Select
Yes
No
Do you know of any other reason why you should not engage in physical activity? (Please Use Space Provided Below to Share any Information)
(required)
Select
Yes
No
Additional Information
Forename
(required)
Surname
(required)
I am 16 years of Age or Older
(required)
Select
Yes
No
By Completing this form, I wave all liability of any accident or incident that may happen to me whilst in Sona-Gym Ltd.
(required)
Select
Yes
No
Date of Birth
(DD/MM/YYYY)
(required)
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