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PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)
We require every player to complete a PAR-Q, the Physical Activity Readiness Questionnaire
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
2. Do you ever feel pain in your chest when you do physical activity?
3. Have you ever had chest pain when you are not doing physical activity?
4. Do you ever feel faint or have spells of dizziness?
5. Do you have a joint problem that could be made worse by exercise?
6. Have you ever been told that you have high blood pressure?
7. Are you currently taking any medication of which the instructor should be made aware? If yes, please enter details in the box below.
8. Are you pregnant or have you had a baby in the last 6 months?
9. Is there any other reason why you should not participate in physical activity?
10. If you have answered ‘Yes’ to any of the questions above have you sought advice from your doctor about whether it is safe for you to participate in physical activity.
EMERGENCY CONTACT
Please detail who you would like us to contact in case of an emergency:
MEDICAL INFORMATION
In the box below, please detail any medical conditions, that you wish to make us aware of (e.g. epilepsy, asthma, diabetes, allergies etc)
DISCLAIMER
Every physical activity carries potential risks. Whilst every precaution will be taken to ensure your safety, you should recognise that you take part at your own risk. The organisers take no responsibility for any injuries sustained unless they occur through negligence.
Please confirm that all your answers are correct and that you have understood and agree with the disclaimer statement above. If under 16, the form above needs to be completed by a parent or guardian.
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