All-In-One-Free-Taster-Booking-Form

Taekwondo Physical Activity Readiness Questionnaire

T-PAR-Q
Please fill in this questionnaire and give it to your instructor before training or on renewal of your membership.
Please read the following essential health questions and tick them appropriately.
Please select your answer. *

Has your doctor ever indicated that you have a heart condition or that you have high blood pressure? Have you ever had chest pains brought on by physical exertion? Do you lose consciousness or lose your balance as a result of dizziness? Are you currently on any form of medication (e.g. tablets, inhaler)? Do you suffer from diabetes, epilepsy or asthma? If so, please give details to your instructor. Do you have bone, joint, back or muscular problems that might be aggravated by exercise? Are you pregnant, or have you given birth in the last three months? Is there any reason not mentioned above why exercise/ Taekwondo activity may not be suitable for you? None
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.

Taekwondo4Fitness

Safety note for every online fitness class
The insurance cover provided is only for instructors, friends & family members who are residents in the UK and EU (Online Fitness Classes).

It is valid for general fitness online activity that applies to closed groups, i.e. my closed Facebook group or Zoom.

Participants will be invited and accepted to join with a user name and password.

These sessions are not available to anyone, only for members registered within the club who participate in my online fitness classes.

The sessions will be delivered via live broadcast or broadcast of pre-recorded material.
Safety note for every session
- By participating, members are doing so at their own risk.
- A suitable, non-slip floor area is required covering at least 2m x 2m (preferred 3m x 3m) to prevent injury.
- All potential obstacles in the vicinity are removed before members can participate.
- No use of blades, weapons, or sharp instruments of any description is allowed at any time.
- Everyone should be aware of their ability and listen to their body to ensure the training is happening safely.
- Avoid physical contact with other participants.
- Avoid activities if you have, or suspect you may have any current health concerns, injuries, aches, and pains.
- The live sessions are light physical exercise training only, with the following outline principles:
Do’s
- All exercises and training to be done individually
- General, light warm-up exercises on the spot
- Static stretching and limited dynamic stretching on the spot
- Fun and straightforward generic exercise routines
- Slow or simple hand movements (e.g., blocking and striking actions)
- Kicking exercises below hip level
Don’t’ s
- No contact activity between two or more people whatsoever
- No kicking exercises over hip level
- No more than two combinations of technique
- Spinning movements
- Heavy or endurance exercises
- Anything with weight equipment
- Resistance training
Acknowledgement

By signing the form below, I confirm that I have read the information in the PAR-Q and the safety note for every online fitness class.
Name *

First Name Last Name
Please sign *

Clear
Today's date:

Day Month Year
Date
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 AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

All-In-One-Free-Taster-Booking-Form

Taekwondo Physical Activity Readiness Questionnaire

Taekwondo4Fitness

Acknowledgement