SECTION 1. PERSONAL DETAILS
ALL information contained within this form will be kept STRICTLY confidential. YOU ARE REQUIRED TO ANSWER ALL QUESTIONS HONESTLY AND TO THE BEST OF YOUR ABILITY. IF YOU ARE UNSURE OF ANYTHING, PLEASE CONTACT A SYDNEY SURVIVORS REPRESENTATIVE
SECTION 2. EMERGENCY CONTACT DETAILS
SECTION 3. Pre-Exercise screening
Details should include nature/type of condition, year of diagnosis, current condition and any other pertinent information
Section 4. Are you, or have you recently had or done any of the following?
IF YOU HAVE ANSWERED YES TO ANY OF THE QUESTIONS IN SECTIONS 3 & 4, OR IF YOU ARE ''NOT SURE' - WE STRONGLY RECOMMEND THAT YOU CONSULT WITH YOUR DOCTOR PRIOR TO COMMENCING AN EXERCISE PROGRAM
SECTION 5. INJURIES & OTHER INFORMATION
1 = very poor; 5 = average, 10 = excellent
Section 6 - TERMS & CONDITIONS
During training with Sydney Survivors, every effort will be made to ensure the safety of all participants. However, as with any exercise program, there are certain risks, including increased heart stress and the chance of musculoskeletal injuries.
Section 7 - INDEMNITY CLAUSE
By selecting the following buttons, you MUST fully understand the terms and conditions of participating in training with Sydney Survivors, including the Indemnity Clause as listed below. By clicking these buttons I agree to fully abide by, and accept these conditions for the period of time in which I participate in the transformation - and understand that if my circumstances change whatsoever during the course of me training with Sydney Survivors, that I will inform Sydney Survivors management immediately.
By selecting the following buttons, I agree to the following: *