+4479 3689 5282 Waltham Forest, United Kingdom

Participation Form

    Medical & Health Questionnaire

    To be completed once you have confirmed your place on the bootcamp

    MaleFemale

    Contact information

    Medical history

    You should consult your doctor prior to any form of exercise program or physical activity, ESPECIALLY IF YOU ARE NOT USED TO ANY EXERCISE


    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

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    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

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    YesNo

    If you have answered yes to any of the questions above please give details


    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    If you have answered yes to any of the questions above please give details


    YesNo

    YesNo

    YesNo

    YesNo

    If so what are they?


    YesNo

    YesNo

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    YesNo

    If you have answered yes to any of the questions above please give details

    Current exercise/activity


    YesNo

    Never2 Years +1 Year +3-12 Months>3 Months

    Not activeModerately activeExtremely active

    HighModerateLow

    Eating habits


    BadGoodFairly goodExcellent

    OneTwoThreeFourMore than four

    YesNo

    PERSONAL GOALS

    DISCLAIMER: Although the benefits of these sessions are significant, there is always an element of risk involved with any physical activity. These sessions are designed in such a way to minimise the risk of injury. However, you are taking part at your own risk; gobootcamp or anyone associated with gobootcamp will not be held responsible for any damages, injuries or otherwise that may occur as a result of taking part in boot camp sessions. If at any time during a session you feel discomfort or pain, you should notify your instructor immediately. You are strongly invited to ask your instructor any questions that you may have during the rest intervals throughout your sessions. Your participation in these sessions are entirely voluntary and you may opt out at any given time if you so wish. You will be expected to have purchased your own personal insurance prior to attending gobootcamp as you would for a holiday