BU BY LUCY

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PAR-QPlease select all that apply.
My doctor has indicated that I have heart condition, and should only take part physical activities recommended by them.
I feel pain in my chest when I carry out physical activities.
In the past month, I have had chest pain whilst NOT doing physical activities.
I have a bone of joint problem (E.G. Knee, Back or Hip) that could be made worse by a change in physical activity.
I am currently being prescribed drugs by my doctor for blood pressure or a heart condition (E.G Water pills).
I sometimes lose my balance due to dizziness.
I do, or have previously been known to loose consciousness.
I am currently recovering from a recent illness, operation OR injury.
I suffer, or have previously suffered with epilepsy. (Please Note - Flashing lights may be used during this class)
I know of another reason that would limit or restrict my participation in physical activity.
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Your Details* This field is required.Please complete the details of the person who will be participating in the class, (Please note, if you are under 16 or require the assent of a care provider, then your parent/guardian must also sign this form)
First Name
Surname
Please Select
Please Select
Male
Female
Gender
Age
Contact Number
Address
Post code
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Please enter any medical conditions that we should be aware of.Please complete this, even if you have had approval from a medical professional, so we are aware should there be any issues during the class (Leave blank if none)
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Next of Kin Details* This field is required.Please complete this information with detail of your next of kin
Name
Contact Number
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Email
example@example.com
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I agree to my personal contact information being used to send me class updates, news and offers. * This field is required.IMPORTANT: If you select no, it will not be possible to update you about class changes or cancelations, you can unsubscribe at any time.
YESNO
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Class Time Please note: When you select a date, the available times should appear on the right, if no times appear there is no availability for the selected date.
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Terms and Conditions* This field is required.If you are attending clubbercise indoors, this will be held in a darkened room with flashing lights, if you suffer from of photosensitivity or sensitivity then this class will not be suitable for you. Remember you should always listen to your body and take the class at your own pace. Choose lower impact options if you find that high impact moves are too challenging. Stay hydrated during the class and drink whenever you need. If you are taking part in any outdoor fitness activity, and suffer from hay fever allergies, please take this into consideration before attending outdoor classes. You confirm that if you have selected any of the conditions on the PAR-Q section, you will seek medical advise before commencing in this class. You also confirm that you have fully read, understood and answered honestly and if you choose to ignore the request to seek prior medical approval and continue to take part against the request of Be You, then you do so entirely at your own risk. You understand the nature of the class and confirm that you are in an appropriate physical and mental condition to be able to participate. If at anytime during the class you feel unsafe or unwell, you agree to immediately inform the instructor (or their assistant) and will discontinue any further participation in the class. You understand that the instructor can not be held responsible for any injuries, or ill health of any kind arising from participation in the class. You MUST delay participating in the class if you are; 1. Showing positive for COVID-19 2. Have any temporary illnesses 3. Your health changes (You should talk with your doctor) 4. You are pregnant (You should talk with your health care practitioner, you physician or a qualified exercise professional If you are below the legal age of consent, or require the assent of a care provider then your parent/guardian must sign and agree to these terms as well as you, by signing the parent/guardian tab. No liability is accepted for any loss of or damage to any articles, which you may bring with you to classes. Equally, liability is not accepted for loss or damage to motor vehicles or their contents or for any parking charges and are left at the owners risk. You confirm, that any medical conditions, discomfort or injuries' which may be effected by physical activity applies or becomes applicable at any time when I am participating in a class, I am responsible for checking with my doctor to ensure I am able to continue to participate. You acknowledge that you are aware that photos and videos may be taken during classes and used on on social media and/or other media for purposes of promotion. Data Protection: This information will be stored in line with GDPR and the Privacy Policy of the individual or company obtaining these details; detailed at the beginning of this form.
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Signature of Participant * This field is required.
Should be Empty: