TFFC Physical Activity Readiness, Media & Disclaimer

Physical Activity Readiness Questionnaire (PARQ) & Media Disclaimer
This information is gathered to ensure your safety during participation in the classes. You only need to complete this form annually unless there are changes in your health or circumstances.
Full Name:*
Email:*
example@example.com
Mobile Phone:*
DOB:*

DayMonthYear
Date
Emergency Contact - Full Name*
Emergency Contact - Phone Number*
Emergency Contact Relationship*
What are your main reasons for starting classes with us?*

General conditioningWeight lossStress managementMuscular strengthAerobic fitnessImprove self-esteemMental healthSocialise and meet new peopleOther

Please complete the following questions honestly and to the best of your knowledge.*

	Yes	No	Other
Has your doctor ever said that you have a heart condition and that you can only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone/joint problem (e.g. back, knee, hip) which could be made worse by a change in your physical activity?
Do you suffer from epilepsy or any condition where you could be effected from flashing lights in a darkened room?
Do you suffer from any past or present injuries or have you had an operation that could affect your participation in class?
Is your doctor currently prescribing drugs (e.g. water pills) for your blood pressure or a heart condition?
Are you currently pregnant, or have you recently given birth (prior to your six-to-eight week postnatal check)?

If you have answered YES or OTHER to any of the above, please fill this section out however, if you have answered NO to all of the above just type in N/A:*
E.g Asthma, Blood pressure tablets, diabetes etc…
If you have answered ‘Yes’ or 'Other' to any of the above, please consult your doctor before participating in any physical activity with us. If you choose not to seek medical advice, you assume full responsibility for your health, and Paige will not be liable for any outcomes resulting from your participation in classes, bootcamps, events, or any other activities
Media, Photography, Video & Audio Recordings
By agreeing to participate in any of Paige's activities, I hereby grant Paige irrevocable and unrestricted legal consent to use my image, likeness, and any interview statements. This consent applies to any photographic, audio, or video recordings collected during participation.

These materials may be used for any purpose, including but not limited to:
- Social Media (e.g., Facebook, Instagram, Twitter)
- Online/Internet Videos
- Online Marketing (including any type of advertisements)
- Presentations
- Other Media (e.g., TV, Radio, Internet)
- Printed Publicity (e.g., flyers, leaflets, posters)
I understand and agree that my image, in any format, may be edited, copied, exhibited, published, or distributed, and I waive any right to inspect or approve the final product where my likeness appears. Additionally, I waive any right to royalties or any other compensation arising from or related to the use of my image, audio, or recordings. I acknowledge that all such materials, including portraits, pictures, photographs, videos, and audio recordings, as well as any reproductions and digital files, are and shall remain the exclusive property of Paige.

This release is valid indefinitely and applies worldwide. However, all materials will be stored securely and retained only as long as necessary.
Newsletter
Would you like to sign up to our Newsletter?

YesNo
Disclaimer
By booking and participating in any physical activity, exercise program, session, or class offered by Paige, you acknowledge and accept the inherent risks associated with such activities. These risks include, but are not limited to, the possibility of injury, illness, or even death. By voluntarily choosing to participate, you assume full responsibility for all risks, including any potential harm or loss, and agree that Paige shall not be held liable under any circumstances.

You also acknowledge that some classes are conducted in a dark room with the use of strobes and lasers, and by participating, you accept any risks associated with these conditions.

By signing this form and signing in each time you attend, you confirm that you have read, understood, and agree to the terms outlined herein, and that this acknowledgment remains accurate and up-to-date. You also agree to the Terms and Conditions listed on our website at www.thefunfitnesscoach.co.uk/t-c-s, which cover these topics as well as additional matters including code of conduct, equipment usage, cancellations and transfers, liability, and risk.

By signing this release, I confirm that I have thoroughly read, fully understood, and agree to be legally bound by its terms. I hereby release Paige from all claims, liabilities, and demands.
Signature:*

Clear
Print name:*
Date:

DayMonthYear
Date
Should be Empty:

Physical Activity Readiness Questionnaire (PARQ) & Media Disclaimer

Media, Photography, Video & Audio Recordings

Newsletter

Disclaimer