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PAR-Q Form - Q Club Membership Executive

PAR-Q (PHYSICAL ACTIVITY READINESS QUESTIONNAIRE)

If you answered 'Yes' to one or more questions, please consult your doctor IF you have not already done so. Show your doctor this form. Ask your doctor's advice on your suitability for physical activity.

Assumption of Risk

I hereby state that I have read and understood the questions above. I also state that I wish to participate in activities, which may include aerobic exercise, resistance exercise and stretching. Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me. I recognise that it is my responsibility to notify my teacher of any serious illness or injury before every class and I accept that neither the instructor nor the hosting facility is liable for any injury, or damage to person or property resulting from taking the class. Those under 18 years of age must have a parent or guardian present at registration.