HA fitness Health From (PAR-Q)
All information contained in this questionnaire is strictly confidential.Regular physical activity is fun, safe and healthy for almost everyone. However, some people may have health related risk factors that may be aggravated by participation in a physical activity program, and should check with their doctor before they start or become more physically active.


The purpose of this form is to:  1) Confirm that you are healthy enough to safely undertake a programme of exercise  2) Provide information about any conditions or injuries that we need to be aware of to work safely with you  3) Ensure that you are aware of any risks involved in undertaking an exercise programme  4) Fulfil a requirement by our insurers  5) Allow us to better work with you to achieve your exercise goals  

Your information is stored online and is password protected. You will be asked to update your form every 12 months. If you are then no longer a client of HA fitness, your information will be deleted. Any personal data linked to financial records will be stored for a 6-year period.  You can legally request a copy of the data kept by HA Fitness.  HA Fitness will only use your email address or phone number to contact you directly about any current training or in reply to a specific query, or of any current offers/important notifications you as customers are being made aware of. If you wish to remove yourself from this list then please contact HA Fitness.  HA Fitness does not share client information with third parties. If a referral is made to another specialist (for example, a physiotherapist), we will ask you to contact them yourself, rather passing your information on to them.  For any further questions about how we store and use your data, please email heather@hafitness.com


If you have any questions please send an email to heather@hafitness.com


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Email *
First Name *
Last Name *
Gender *
Occupation *
Mobile number *
Emergency contact name *
Emergency contact phone number *
PHYSICAL ACTIVITY READINESS QUESTIONNAIRE
The purpose of this form is to determine if you can be reasonably safe starting an exercise program or increasing your current level of activity. If you answer yes to any questions, it is recommended that you consult your physician prior to starting exercise.
Do you have any underlying medical conditions or history of these illnesses? *
Required
 If yes to the above medical conditions question, please provide details.
Ladies only: are you pregnant, or have you been pregnant in the last 3 months? *
If yes to the above pregnancy question, please provide details
Have you been hospitalised or undergone any surgical procedures within the last 12 months *
If yes to the above hospitalisation question, please provide details
Do you have any pain or major injuries, particularly in the following areas *
If yes to the above major injuries question, please provide details
Are you taking any medication *
If yes to the above medication question, please provide details
Is there any other reason, not mentioned here, why you should not take part in physical activity?  Please provide brief details
Terms and conditions
1. I understand that HA Fitness Ltd sessions often take place outdoors, often on uneven ground and/or with limited lighting. I acknowledge and accept the potential dangers that my participation in sessions, in such conditions, may involve.  
2. I confirm that I will inform the Trainer at the beginning of each session of any medical or other condition(s) that I may have that may affect my participation in that session. I acknowledge that whilst HA fitness will take note of such condition(s) and advise of necessary alternatives to the session, I will proceed with the session at my own risk and am fully responsible for protecting my own health and safety in relation to any conditions I have. If I require medication such as an inhaler, it is my responsibility to bring these along to sessions. I agree to inform the Trainer of any conditions, and where necessary, provide written consent from my medical practitioner, before continuing with physical activity.
3. I agree to abide by all oral notices regarding safety and technique given during an HA Fitness session.  I am aware that I have the opportunity to ask questions about the activities, use of equipment and other related issues during a session.  If I choose to disregard any advice given, I do so at my own risk and accept liability for all resulting injuries or damage.
4. I understand that HA Fitness is not responsible or liable for any injuries or damage resulting from my participation in the session unless where HA Fitness has been negligent or failed to take reasonable care.
5.   Postnatal only: I can confirm that I have had approval from my GP to commence suitable postnatal exercise. Whilst I am aware that every effort has been taken to ensure this exercise class is suitable for postnatal women, I understand that my participation, and the safety of myself and my child(ren), are my responsibility.

Terms and Conditions for HA fitness Ltd

The questionnaire and the following are a summary of the most important points of the Terms and Conditions for those attending classes. We strongly recommend you take the time to read and fully understand the full Terms and Conditions that are available on the website before commencing physical activity with HA fitness Ltd (‘HA fitness”).  

HA fitness will assign a Personal Trainer (“the Trainer”) to conduct your sessions.  All HA fitness Trainers are fully qualified Personal Trainers (accredited on the Register of Exercise Professionals) holding the appropriate level of insurance.

Your Health
We strongly recommend that you seek medical advice before participating in an exercise programme.  Participants who proceed without first doing so, do so at their own risk.

If you are a postnatal attendee, you acknowledge that medical approval is MANDATORY and must be received before commencing classes/training sessions.  You understand that evidence of such approval may be requested before you are allowed to start sessions.
If you have an accident or sustain an injury during one of the classes you must inform the Trainer immediately.

Class Attendance
All class attendees must complete a health form before participating in a class.
All attendees must register at the start of the class, providing their full names and either payment or class pass.
The free trial is permitted per person for one HA fitness class only, not for each type of class.
Where, in the opinion of the Trainer, a class is overcrowded, the Trainer may restrict the number of attendees.
The Trainer may, at any time, ask you to leave the class if you are jeopardising the safety or enjoyment of others.
The classes will start on time.  If you are late, the Trainer may not let you join the class if they believe it will be unsafe to do so.

Training Venues
Class passes and classes purchased online on a pay-as-you-go basis can be used for any HA fitness class at any of the venues listed on the website.
We reserve the right to move classes to alternative locations if the advertised location becomes unsuitable, unsafe or unusable.

Babies and Children
If you bring your babies or children to an HA fitness class you remain solely responsible for their safety before, during and after the class.

Class Timetable
We reserve the right to change the timetable including adding or removing classes.  We will notify you of our intention to do this at classes, on the website and via email updates.
Classes may be cancelled without notice on the grounds of health and safety, at any time. You will not be entitled to a refund if the cancellation occurs after the session has commenced.

Class Passes
Class passes are non-transferrable and non-refundable. You cannot lend your pass to another person.  Two adults living at the same address may share a class pass.  Proof of address may be required.
Your class pass is your responsibility and you must bring to each session.
Your class pass is valid for 12 weeks from the date of your first class (not from the date of purchase).  Any remaining class credits after this period will expire automatically.
HA fitness reserves the right to cancel your class pass immediately if you:
- break HA fitness Terms and Conditions
- put the safety and well-bring of the Trainer or other clients at risk
- engage in disruptive or violent behaviour.

Possessions
HA fitness is not legally responsible for any possessions that are lost, damaged or stolen before, during or after the session.

Photography
Classes may be photographed for marketing purposes.  Your participation in a session means that you consent to the photography that may be used for commercial purposes, without payment.

Changes to these Terms and Conditions

We may change these Terms and Conditions at any time.  We will give you at least 30 days notice to inform you of any significant changes that may affect your class pass.


I would like to keep up to date with HA fitness classes, timetable and services by receiving their emails *
I can confirm that I have completed this questionnaire to the best of my knowledge. By completing and submitting this form I agree to the terms and conditions. *
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