Health Declaration & Waiver Form

First name

Last name

Date of birth

Are you suffering from a medical condition, illness or injury that make you not suitable for any excercise?

Yes

If you answered yes to the question above, please supply additional information.

I declare that the info provided is accurate and complete.

I will take full responsibility for my own health and well-being while attending the classes. (Can refer to the disclaimer page on our website. )

The information collected will be used solely for the purpose of assessing health risks and ensuring the safety of our classes. Information will be stored securely and will only be accessible to authorized staff members.

Signature

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Health Declaration & Waiver Form

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