Please fill in the following online Par-Q and click on the send button below.
Please remember to fill in your contact details. If you answered yes to any of the questions, then please add more details about your condition in the text box provided at the bottom of the form.
It is important to answer all of the questions honestly and accurately. Thank you.
In consideration of being able to take part in exercise and physical activity organised by Motive 8 Fitness I acknowledge that:-
1. I have completed this Health Questionnaire (Par-Q) accurately and to the best of my knowledge and belief.
2. To the best of my knowledge, I know of no reason why I should not participate in any of the programmes and activities run by Motive 8 Fitness, I hereby declare myself free of any condition, disease, impairment, infirmity or illness that may affect my participation. I agree to inform Motive 8 Fitness and where appropriate provide written consent from my doctor should such a condition or complaint arise, before continuing with any physical activity or exercise.
3. I agree to abide by all verbal and written notices regarding safety whilst exercising with Motive 8 Fitness. I agree only to use the equipment and facilities relevant to my capabilities or that I have been inducted on and/ or am fully conversant with.
4. In the case of myself not understanding a particular piece of equipment or exercise being given or risks and dangers involved in a particular piece of equipment or exercise being given I understand I will have the opportunity to ask questions about the activities, use of the equipment, and other related issues. I agree not to exercise until any questions I have asked or concerns raised have been answered to my satisfaction and are fully understood by myself.
5. I am aware of and understand the potential risks and dangers associated with physical activity and exercise including the use of equipment and I am voluntarily participating in these activities with the knowledge of the risks and dangers involved.
6. Motive 8 Fitness accepts no liability for death, injury or illness resulting from my failure to disclose any relevant medical impairment or condition or from my misuse of facilities & equipment.
7. Without prejudice to the above, Motive 8 Fitness accepts no liability for loss of whatsoever nature and howsoever arising caused to me or suffered by me whilst exercising WITH THE EXCEPTION of any liability or loss that is caused by the negligent acts or omissions of Motive 8 Fitness.