AUBSU Participation Form

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This form is required to be completed by all participants before their first session for safety and insurance purposes. Thanks!

What's your full name? *

What's your student number? *

Who should we contact in case of emergency? Please give their full name and contact number here: *

Do you have any relevant medical information we should be aware of? (Include: allergies, injuries, disabilities and health issues). While we will communicate this with instructors, please also let your instructor know of any adjustments you might need as well.

The following information is only used for data capturing and project reporting and will remain anonymous. Please fill in to the best of your ability.

Age:

Gender:

Disabilities (any condition is considered a disability if it has a long-term effect on your normal day-to-day activity, including your mental health):

Ethnicity:

How active are you currently? Please be honest! (Tick all that apply) *

I do at least 150 minutes of moderate activity every week (like swimming, cycling or brisk walking)

I do less than 150 minutes of moderate activity every week

I do at least 75 minutes of vigorous activity every week (something that gets you out of breath!)

I do less than 75 minutes of vigorous activity every week

I do a combo of moderate and vigorous activity for 150 minutes a week

Required

By attending an AUBSU session, you agree that you are personally responsible for your own involvement in the sessions and will adhere to advice given by the Activators/Instructors at the sessions. You also consent to AUBSU contacting you about important information relating to the sessions, such as cancellations, safety information and session changes that may impact me. *

I understand

Many thanks for filling out this form. You are only required to do one form for all AUBSU sessions so don't worry about doing this form again for another session!

If you have any questions or need to contact someone from AUBSU then please email us: studentunion@aub.ac.uk

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