Health Check and Sign Up Form

Tell us how we can improve the QUALITY of YOUR life









If you continuing living your current lifestyle will you achieve your GOAL?



Let’s assess your health by clicking any valid questions below (leave any other questions blank).

HISTORY:

Have you had?








SYMPTOMS:





OTHER HEALTH ISSUES:




CARDIOVASCULAR RISK FACTORS














IF YOU ANSWERED YES TO ANY OF THE QUESTIONS IN THIS SECTION YOUR FITNESS PROFESSIONAL WILL SHOW YOU WHAT WE NEED TO DO TO GET YOU ON YOUR WAY TO YOUR NEW LIFESTYLE! PLEASE CONTACT YOUR DOCTOR BEFORE UNDERTAKING ANY FITNESS OR NUTRITION PROGRAM!

WARNING: THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS! AGREEMENT FOR PARTICIPATING IN PERSONAL STRENGTH, FITNESS AND CONDITIONING TRAINING! The “Trainer” means the “Linda Craig” - Fitness Professional The “Activity” means the participation in personal/group strength, fitness and conditioning training and general advice! I acknowledge that it is a condition of participating in this activity that I do so at my own risk. I accept all risks and hereby indemnify and release the trainer, their agents, affiliates, employees, members, sponsors, promoters and any person or body directly and indirectly associated with the Trainer, against all liability (including liability for their negligence and the negligence of others) claims, demands, and proceeding arising out of or connected with my participation in this Activity. This release and indemnity continues forever and binds my heirs, successors, executors, personal representatives and assigns! I acknowledge that participating in this activity may involve a risk of serious injury or even death from various causes including: Over exertion, dehydration, equipment failure and accidents with equipment and/or surroundings! I recognise the difficulties associated with this activity and attest I am physically fit to participate safely in the activity and that a qualified medical practitioner has not advised me otherwise! I understand the demanding physical nature of this activity. I am not aware of any medical condition, injury or impairment that will be detrimental to my health if I participate in this activity. In the event that I become aware of any medical condition, injury or impairment that may be detrimental to my health if I participate in this activity my trainer will immediately be informed. By continuing to participate in this activity, I accept the risks despite these conditions and am still, and will always be under the terms of this agreement! I certify that I am 18 years or older and have read this document and fully understand it. As a parent or guardian of the participant (a) I agree to the above for myself and on behalf of the participant and (b) I indemnify and will keep indemnified any person or body directly or indirectly associated with the conduct of the activity on the terms referred to.