Health Declaration

Please fill out the following form to help us understand your physical condition and assess your fitness to train.

Full Name

Email Address

Emergency contact name

Phone number

Date of Birth

Emergency contact phone

If you have answered "Yes" to any of the above, please provide further details here, including if the issue is: current, a previous issue or if it will affect your ability to exercise

If you answered "No" to ALL of the questions: It is reasonably safe for you to participate in physical activity.

If you answered "Yes" to one or more of the 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 BEFORE you start a new exercise program. You may be able to participate in any activity you want – as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with you doctor about the kinds of activities you wish to participate in and follow his/her advice.

Delay becoming more active:

If you are not feeling well because of a temporary illness such as cold or a fever – wait until you feel better.
Please note: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional immediately.

Describe your current fitness level

Newbie: I have not taken part in regular physical activity for 6 months or more

Wannabie: I have good intentions but am yet to find something I stick to. Sometimes life gets in the way. I exercise once a week or less

Dabbler: I try my best to exercise for 30 minutes or more at least once a week, but it doesn't always work out that way

Weekend warrior: I have a base level of fitness and I regularly take part in moderate exercise 1-2 times per week for 30 minutes or more

Fitty: I enjoy keeping fit and exercise at moderate to high intensity for 30-60 minutes or more 3 or 4 times per week

Athlete: I exercise for 30-60 minutes+ 5 times a week or more at a moderate to high intensity

FitPro: I train hard 5 times a week or more and regularly participate in competitive sporting events

LIABILITY WAIVER
I am registering to participate in activities held by Bfit.

The instructions and advice presented are in no way intended to be substitute for medical counselling/advice. Not all exercises are suitable for everyone and this or any other exercise program may result in injury.

Any exercise program carries a risk of injury. Every step has been taken to ensure you train safely, however, if at any point during your workout you begin to feel faint, dizzy or have physical discomfort, you should stop immediately and consult a medical professional. Any user of Bfit assumes the risk of injury resulting from performing the exercises shown. Bfit hereby disclaim any liability or loss in connection with the exercises and advice contained herein.

I, the undersigned, hereby state that I wish to participate in the exercise class / course / workshop. I realise that my participation in these activities involves potential risk of injury. I hereby state that I am in good health and am able to take part in this activity. I take full responsibility for my own health and well being and agree that any instructions received will be used at my own risk.

I have disclosed above any relevant medical information and will inform the instructor if there are any changes to my health as stated above before partaking in any further training.

My signature also acknowledges my consent to be photographed and/or video recorded during the class, and grants the instructor the sole right to own, use and modify the images and/or recordings for any and all purposes worldwide, including but not limited to advertisements, marketing, and all commercial purposes and in all forms of media, without any compensation (including royalties) in perpetuity. I waive any right to inspect or approve any images or recordings and waive any rights of ownership to the same.

By purchasing any package with us whether in person or via our app or online store you confirm you have read and accepted our terms and conditions.

I hereby acknowledge that the nature of the exercise sessions that I am about to undertake has been fully explained. Whilst I am aware that every care will be taken by the instructor, I will participate at my own risk.

I declare that the info I’ve provided is accurate & complete

Signature (typed)

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