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Physical Activity Readiness Questionnaire (PAR-Q)












    Participant Declaration

    All persons who have completed the PAR-Q+ please read and sign the declaration below. If you are less than the legal age required for consent or require the assent of a care provider, your parent/guardian or care provider must also sign this form.

    Please note that no liability is accepted for any loss of or damage to any articles, which you may bring with you to classes. Equally, liability is not accepted for loss of or damage to motor vehicles or their contents and these are left at the owner’s risk.

    If you have answered YES to any of the above questions, then you are required to gain consent from your doctor before participating in the group exercise to music session.

    Delay becoming more active if:

    You have a temporary illness such as a cold or fever; it is best to wait until you feel better.
    You are pregnant – talk to your health care practitioner, your physician, a qualified exercise professional, before becoming more physically active.
    Your health changes – talk to your doctor or qualified exercise professional before continuing with any physical activity program.

    If you have answered NO to all the above questions and you have reasonable assurance of your suitability for exercise, sign the participant declaration below.

    It is advised that you consult a qualified exercise professional to help you develop a safe and effective physical activity plan to meet your health needs.

    You are encouraged to start slowly and build up gradually – 20 to 60 minutes of low to moderate intensity exercise, 3-5 days per week including aerobic and muscle strengthening exercises.

    If you are over the age of 45 years and NOT accustomed to regular vigorous to maximal sort exercise, consult a qualified exercise professional before engaging in this intensity of exercise.