PAR-Q Form

YES TO ONE OR MORE QUESTIONS: You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health. NO TO ALL QUESTIONS: It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels.
By signing above, I agree that I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury.
Please enter your full name. By signing above you declare that you have sought advice from your GP and that he/she has agreed you may participate in this activity.

Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the 7 questions.