Health questions

Five quick questions so your coaches can keep you safe. Only our coaching team sees your answers. Signing up a child? Answer for them.

Please read our Risk Warning, Release & Waiver before you submit.

Your full name

Mobile

Email

Who is this for?

Me (18+) My child (under 18)

Child's full name and date of birth (if for a child)

Do you (or your child) have any current injuries?

Yes No

Have you (or your child) had any major surgeries?

Yes No

Any medical conditions we should know about?

Yes No

Any physical disabilities or mobility limitations?

Yes No

Do you smoke?

Yes No

If you answered yes, or there is anything else coaches should know (medication, allergies, asthma, pregnancy), tell us here

Agreement

I confirm these answers are true and complete, and I have read and agree to the Risk Warning, Release & Waiver (parents: on behalf of my child, including the parent consent and indemnity).

Sign: type your full name

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0485 837 033

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