PAR Q Form

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PAR Q Form

This information is collected in order to keep participants safe and will be stored on remote cloud, password encrypted.

Email *

First and Last Name *

Email Address *

Emergency contact name & Number *

Do you know of any medical or health reasons that may prevent you from exercise? *

Yes

Maybe

If Yes/maybe, please give details below

Do you currently have any injuries that could be made worse by exercise? *

Yes

Maybe

If yes, please give details below

Do you agree that you enter all classes with "Fitness with Fran" and their coaches at your own risk? *

Yes

Maybe

Declaration: By completing this form and participating in any programming with "Fitness with Fran" coaching, you agree you are fit and healthy to do so and have disclosed all injuries and conditions relevant. You agree that "Fitness with Fran" coaching is not liable for injuries occurred during classes *

Yes

Maybe

Send me a copy of my responses.

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