Slinga Fitness Class Client Form

Please complete the below PAR-Q form to confirm you can participate in physical activity. It should only take you a couple minutes! Any issues send me a message using the contact details at the bottom of the page! Please refer to additional notes on page for yes/no elements of questions & confirmation upon submission:

  
  Photography & Video
I confirm & give Slinga Fitness the permission to take photographs and videos during the class and assign copyright to Slinga Fitness. Use of the photographs may be granted to third parties; however the photographs will remain the property of Slinga Fitness.

I consent to photographs & videos of my child/myself and understand they may be used on website/social media or as marketing material.
  
First Name
Email Address
Doctors Surgery
DOB
Contact Telephone Number
Surname
Address
Emergency Contact Name & Number
Name of Child(ren) Attending
Medical Details (Yourself/Little one) i.e. Type of Birth
Own Carrier? If applicable (Yes? Type)
Age & Weight of Child (For Babywearing Class)
Additional Information (i.e. class preference, current fitness level, fitness activity, fitness goals, block book/flexi book/PAYG, etc):
How did you find out about Slinga Fitness: (FB, Instagram, word of mouth, website, Linskill, etc)
Photography & Video (Yes/No) *
PAR-Q: Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? (Yes/No)
PAR-Q: Do you feel pain in your chest when you perform physical activity? (Yes/No)
PAR-Q: In the past month, have you had chest pain when you were not performing any physical activity? (Yes/No)
PAR-Q: Do you lose your balance because of dizziness or do you ever lose consciousness? (Yes/No)
PAR-Q: Do you have a bone or joint problem that could be made worse by a change in your physical activity? (Yes/No)
PAR-Q: Is your doctor currently prescribing any medication for your blood pressure or for a heart condition? (Yes/No)
PAR-Q: Do you know of any other reason why you should not engage in physical activity? (Yes/No)
Submit (submitting is confirmation of all additional notes relating to photography, PAR-Q, Postpartum Participation, Risk, Cancellation, etc.
  PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)
Many health benefits are associated with regular exercise, & the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life. For most people physical activity should not pose any problem or hazard. PAR-Q is designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Common sense is the best guide in answering these few questions. Please read them carefully and yes/no if it applies to you.
  
If you answered:  Yes to one or more questions: If you have not recently done so, consult with your doctor by telephone or in person before increasing your physical activity and/or taking a fitness appraisal.  Tell your doctor what questions you answered ‘yes’ to on PAR-Q or present your PAR-Q copy.
After medical evaluation, seek advice from your doctor as to your suitability for:
· Unrestricted physical activity starting off easily and progressing gradually, and
· Restricted or supervised activity to meet your specific needs, at least on an initial basis
 
No to all questions: If you answered PAR-Q accurately, you have reasonable assurance of your present suitability for:
· A graduated exercise programme
· A fitness appraisal
 
Postpartum Participation
By attending and signing this form you are confirming that you are over 6 weeks postpartum and have had a successful 6 weeks sign off from your doctor for both yourself and any babies involved. This is extended up to 10-12 weeks for those recovering from a C-section.
 
Assumption of Risk
 I hereby state that I have read, understood and answered honestly the questions above. I also state that I wish to participate in activities that may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involves the risk of injury etc.
I confirm that I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me.
 
If baby/infant/child is involved in some form during the exercise programme, even just attending, full responsibility of said child is in the care of their parent carer and Slinga Fitness take no responsibility of said child and the customer accepts full responsibility of their safety.
 
Cancellation Policy
PAYG & Flexi-Booking: All cancellations must be received at least 24 hours before your class in order to avoid being charged for it. Customers who do not cancel with 24 hours notice as well as no shows will be charged for the cancelled/missed session.
Set Block Bookings: Those booking the set block classes can still give notice of cancellation, but booking is non-transferable.