Registration/consent form - DYA

TICK the answer that applies and provide details if answer is yes.

Do you have or have previously had any of the following medical conditions?

High or Low Blood Pressure

Yes No

Any Heart Conditions

Yes No

Irregular heart beats/palpatations

Yes No

Pulmonary (lung disease) (asthma etc)

Yes No

Bone or joint problems

Yes No

Fainting or dizzy spells

Yes No

Are you pregnant

Yes No

Recent surgery

Yes No

Please tick the box if you DO NOT want any photos taken for use in future promotional work or re-production on our web site

Please add any other information you deem relevant here

Any documents you deem necessary for us

I confirm that I am over 16 and that I am medically able to participate in fitness training
I confirm that my son/daughter is medically able to participate in fitness training
I confirm that I have read and understood the Policies and Procedure Documents of Able2B (available by request or on the website) and agree to the terms and conditions of the documents.

Fitness Training I understand that I undertake the classes knowing there are risks when under-taking fitness training type sessions/exercises.

Covid-19
I confirm that I currently do not have any symptoms relating to Covid-19 and that I will be sure to assess I am fit and well before attending the gym sessions each week and not attend if I am unwell or any direct family member is unwell or has Covid-19. I confirm I will maintain social distancing at all times whilst at the gym and adhere to the Covid-19 policy that I have read and understand. I recognize that my attendance at the gym is at my own risk with regards to Covid-19 transmission.

By checking this box, I agree to the above statements and have filled out this form accurately to the best of my knowledge.

Registration and Consent Form