Taekwondo4Fitness T-PAR-Q

Taekwondo Physical Activity Readiness Questionnaire

T-PAR-Q
Please fill in this questionnaire and give it to your instructor before training or renewal of your membership.
PAR-Q applies to:
Please read the following essential health questions and tick them appropriately.
Additional comments (optional):
If you have answered yes to any question above, before a physical activity program or Taekwondo training can begin, you must seek advice and get a letter from your doctor stating that you can participate in physical activity. This form must be given to the instructor/coach before any training can begin.
You take part in all physical activity and Taekwondo programs at your own risk.
If your circumstances change and affect your health or well-being when carrying out any physical activity, your responsibility is to inform your instructor/coach.
Adult / Guardian for under 18yrs
Name

First NameLast Name
Gender
Birth Date

MonthDayYear
Name of child 1 (optional)

First NameLast Name
Birth Date (optional)

MonthDayYear
Name of child 2 (optional)

First NameLast Name
Birth Date (optional)

MonthDayYear
Country of residence
Please sign:
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Taekwondo Physical Activity Readiness Questionnaire