Core Fitness Personal Training Please complete our registration form: No joining fees ~ No contracts Create AccountExisting AccountUsername:First Name:Last Name:Email:Mobile:Password:ShowPAR-QThe physical activity readiness questionnaire (PAR-Q) is a self-screening tool that can be used by anyone who is planning to start an exercise program. It is often used by fitness trainers or coaches to determine the safety or possible risk of exercising for an individual based upon their answers to specific health history questions. You only need to complete this once.Q1 - Emergency Contact Name & Phone Number:Q2 - Have you ever been given advice from your doctor NOT to exercise? No YesQ3 - Has your doctor ever indicated that you have a heart condition or have you ever experienced severe chest pains during physical exertion? No YesQ4 - Have you ever felt faint or suffered from dizzy spells linked to high blood pressure? No YesQ5 - Have you been diagnosed with epilepsy? No YesQ6 - Have you been diagnosed with diabetes? No YesQ7 - Have you been diagnosed with asthma? No YesQ8 - Are you taking any medication or prescribed drugs that will affect you taking part in any of our exercise classes? No YesQ9 - Are you pregnant or have you been within the last six months? No YesQ10 - Have you experienced any bone, joint or muscular problems that would stop you from exercising? No YesQ11 - Are you aware of any other condition or injury that may give reason to modify your exercise program? No YesIf you answered "Yes" to any of the above questions, please add details below:Membership AgreementYes I have answered all questions accurately & take full responsibility of my own actions. I agree to the membership terms & conditions.I have read and completed this form in it’s entirety and answered all questions accurately. I understand that I am responsible for my own ability to participate in personal training or group exercise classes with Core Fitness, and take full responsibility of my own actions whilst under instruction from the trainer and using equipment provided by Core Fitness. I will inform the trainer if any symptoms or changes occur. I confirm that I have read and understood the Membership Terms and Conditions . By checking this box you confirm that you have read and agree to the Terms Of Service.UsernamePasswordForgot Password?
