Pre-training Questionnaire

ABOUT YOUTell us about yourself

First Name *

Last Name *

Email *

Mobile *

Address

Date of Birth *

Gender *

Shirt Size (for a FEAT Shirt)

YOUR TRAINING

What are you looking to get out of training? *

Are you currently Training? *

Yes

No

What type of training and how often? *

HEALTH INFORMATION

Do you have any current injuries or is there anything else that might affect your ability to participate? *

Yes

No

Do you have any Allergies? *

Yes

No

Are you currently taking any medication/s? *

Yes

No

Are you, or have you recently been pregnant? *

Yes

No

EMERGENCY CONTACT

Emergency Contact Name *

Emergency Contact Number *

How is your Emergency Contact related to you? *

Emergency Details - Anything else we should know?

DECLARATION & WAIVER

I understand that I may participate in physical activities which may expose me to certain risks and that I do so at my own risk. I will not hold Fitness FEAT, or any of its servants and agents, liable for any injury, loss, damage or death caused to me or my property whether by negligence, omission and breach of contract or in any way whatsoever.

I undertake to complete a new pre activity questionnaire in the event of any changes in my medical status during the time participating in training. I understand that it is my responsibility to advise Fitness FEAT of any medical/physical conditions that may prevent me from exercising, and that I participate in exercise at my own risk.

Declaration & Waiver I agree to the above statement

Pre Training Questionnaire