PARQ - Health Questionnaire 

Hello! Thanks for booking a 7 Day Free Trial, before you attend the session please complete our pre-activity readiness questionnaire, it won't take long - we promise! 

If you have any technical difficulties drop us an email at liam@gbbootcamp.co.uk and we'll get back to you as soon as we can! 


 
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Personal Details 

Contact Information 

Contra Indications & Medical History

Do you have any medical considerations that we should be made aware of?
Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
When you undertake moderate physical activity do you ever feel chest pain?
Have you ever experience loss of balance due to dizziness or lose consciousness?
Do you suffer from high blood pressure?

Do you suffer from any of the following? 

(i) Back pain/sciatica
(ii) Lack of Joint mobility or Joint Probems
(iii) Osteoarthritis or Arthritis
Have you ever undertaken major surgery or surgery of any kind?
Have you broken or fractured any bones before?
Do you ever experience shortness of breath with mild exertion?
Are you currently taking any medication that we should be made aware of? (If so please specific details)
Are you currently a regular smoker?
Do you or have you in the past been a sufferer of asthma?
Are you currently diabetic?
Are you currently suffering from an under active or overactive thyroid?
Are you or any of your immediate family epileptic?
Are you currently pregnant or have you given birth in the last six weeks?

You're Almost There - just a few more boxes to tick! 

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By attending this session, I give GB BOOTCAMP, Colchester Bootcamp, Gabriel Beckett and any associated business or partners permission to post and tag (with my full name) photos and videos containing my image on their website, Facebook, Instagram, Twitter, YouTube, other social media and in print and video for promotional and marketing purposes
I give GB BOOTCAMP, Colchester Bootcamp, Gabriel Beckett permission to contact me by email, text in relation to GB BOOTCAMP, newsletters and offers for marketing purposes.

You can opt out of being contacted any time by contacting GB Bootcamp,  Colchester Bootcamp, Gabriel Beckett and your details will be removed. 

DISCLAIMER - GB BOOTCAMP HOLDS NO RESPONSIBILITY OVER YOUR  PERSONAL BELONGINGS 

I HAVE UNDERSTOOD ALL OF THE ABOVE AND COMPLETED THIS QUESTIONNAIRE TO THE BEST OF MY KNOWLEDGE

LIABILITY RELEASE FORM 

WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT 

Definitions  

In this agreement 

a) the term “THE OPERATORS” shall mean GB BOOTCAMP Ltd.  

b) the term “fitness classes” shall apply both to all forms of exercise. 

ASSUMPTION OF RISKS  

I understand that the fitness classes that I am taking part in has inherent risks of injury and dangers and holds a risk (however small) of serious injury or possible death. I realise that it is my responsibility to make  The Operators staff aware of any medical conditions that I may have, and any medication I may need. I am  also aware that I must comply with staff instructions for my own safety and smooth running of my classes. I  will also disclose any discomfort I feel within the environment or during training and inform The Operators staff of any desire I may have to omit or discontinue with any aspect of the class or activity. The Operators also reserves the right to refuse participation to clients that they believe to be in any way not fit to participate in a particular activity, and in such circumstances, no refunds shall be given. 

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH FITNESS  CLASSES AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND  HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR  LOSS RESULTING THEREFROM. RELEASE OF LIABILITY, WAIVER OF CLAIMS AND  INDEMNITY AGREEMENT.

 

In consideration of THE OPERATORS allowing me to participate in fitness classes, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: 

1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE OPERATORS and  their directors, officers, employees, guides, agents and representatives, (all of whom are hereinafter  collectively referred to as “THE RELEASEES”) arising out of any aspect of my participation in fitness classes 

2. TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury  including death that I may suffer or that my next of kin may suffer as a result of my participation in fitness  classes, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR  BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE ON THE PART OF RELEASEES; AND  INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME  FROM THE RISKS DANGERS AND HAZARDS OF FITNESS CLASSES REFERRED TO ABOVE; 

3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property  damage or personal injury to any third party, resulting from my participation in fitness classes; and 

4. That this agreement shall be effective and binding upon my heirs, next of kin, executors, administrators,  assigns and representatives, in the event of my death. This agreement will be governed by and interpreted in accordance what the laws of England and Wales and any litigation involving parties to the Agreement shall be brought within the courts of England and Wales. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of fitness classes, other than what is set forth in this Agreement.