Kickboxing Cambridge - Achieve your Fitness goals quicker!

Physical Activity Readiness Questionnaire (PAR Q)

Please check our Terms and Conditions to know:

Why are we collecting this information, what we are going to do with this information (how will store this), and our policy for destroying this information.

If this form is being completed on behalf of a child under the age of 18, it must be signed by a parent or guardian. All details completed must be for the child except the emergency contact details and email consent. The emergency contact details given must be semeone that we can contact at any time during the time your child is with us.

Send Us a Message

Member Name:

Date of Birth

Address:

Post Code

Contact Email:

Phone Number:

Free Text

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change you physical activity patterns.

If you are over 69 years of age and are not used to being very active, check with your doctor.

Please read each question carefully and answer honestly by indicating YES or NO.

Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?

Do you feel pain in your chest when you do physical activity?

In the past month, have you had a chest pain when you were not doing physical activity?

Do you lose balance because of dizziness or do you ever lose consciousness?

Do you have a bone or joint problem ( for example back, knee or hip) that could be made worse by a change in your physical activity?

Is your doctor currently prescribing medication for your blood pressure or heart condition?

Do you know of any other reason why you should not take part in physical activity?

If YES, please comment:

Any other medical conditions that we should be aware of:

CONTACT

Kickboxing Cambridge

Unit B1 - Copley Hill Business Park, Cambridge, CB22 3GN

Cambridge, CB22 3GN

Contact Number

07517 082274

Contact Us

Call us: 07517 082274

Where to find us:

Unit B1

Copley Hill Business Park

Cambridge, CB22 3GN

Kickboxing Cambridge Terms and Conditions

Physical Activity Readiness Questionnaire (PAR Q)

Send Us a Message

CONTACT

Contact Us

Follow Us