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PAR-Q Form

Physical Activity Readiness Questionnaire (PAR-Q)
Physical Activity Readiness Form
For most people, physical activity should not pose any problems or hazards to health. This questionnaire has been designed to identify anyone for whom physical activity may not be appropriate, or for those who should have medical advice concerning the type of activity most suited for them.

Your Personal Details

Emergency Contact Details

Medical Questions

Waiver

I confirm I have answered all the questions in this form honestly and I am aware that if I answered ‘Yes’ to any of them, I should consult with my doctor before starting an exercise programme. By signing the Physical Activity Readiness Questionnaire (PARQ), I release and discharge the Ardrossan Community Sports Hub & Fitness Centre and their staff, for any claim, injuries, losses or liabilities suffered or incurred as a result of my participation in any fitness classes or use of the gym facilities.
By typing your full name in this box you are confirming the above statement
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