Oban High School - PAR-Q
This form is a participation questionnaire which is required to be completed by anyone (staff and students) who wishes to use the fitness room at Oban High School. All questions must be answered truthfully. Users of the fitness room must only use equipment that they are familiar with and understand how to use safely.
Email *
Has your doctor ever said that you have a heart condition and thatyou should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
 In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem that could be made worse by a change in your physical activity? *
 Is your doctor currently prescribing drugs (for example, water pills)for your blood pressure or heart condition? *
 Do you know of any other reason why you should not do physical activity? *
I understand that if I have answered YES to any of the above questions that I should consult a medical physician BEFORE participating in any exercise program at Oban High School. Should I wish to continue and participate in the exercise activity without consulting a medical physician then I am aware of the potential risks and that I have decided to participate in activity and use of equipment and machinery without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of equipment and machinery in my activities. *
I CONFIRM THAT I WILL RETURN ALL EQUIPMENT AND CLEAN ANY ITEMS I HAVE USED. I UNDERSTAND THAT FAILURE TO DO SO MAY RESULT IN ME NOT BEING ALLOWED ACCESS TO THE FITNESS ROOM. *
A copy of your responses will be emailed to .
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