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Full Name or Participant
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D.O.B
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Age
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Current weight in KG
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Gender
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Please answer YES or NO below.
Has your doctor ever said you have heart trouble?
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Have you ever had pain in your chest?
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Do you often feel faint or have spells of dizziness?
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Has a doctor said that your blood pressure is too high?
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Has a doctor said that you might have bone or joint problems, arthritis, that is aggravated by exercise?
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Have you been in hospital in the last 3 years?
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Are you currently taking any medication?
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Are you pre/post natal?
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Do you suffer from asthma, or breathing difficulties?
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Do you suffer from diabetes or epilepsy?
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Do you suffer from an allergy?
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Do you suffer from an allergy?
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Is their good reason not mentioned here why you should not take part in training sessions with RIPT TRAINING?
If you answered yes to any of the above, please provide a DRs note before training.
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NEXT OF KIN FORM - Please provide
Full Name
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D.O.B
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Address
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EMERGENCY CONTACT DURING SESSION
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