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