Your Child's Details
Your Details
Medical/Injury Details
Emergency contact
Legal Documents
FORTIS Gym Limited - Physical Activity Readiness Questionnaire (PAR-Q)
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
All information received on this form will be treated as strictly confidential.
Please read the questions below carefully and answer each one honestly: check YES or NO.
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Have you ever felt pain in your chest when you do physical exercise?
In the past month, have you had chest pain when you were not doing physical activity?
Do you often feel faint, have spells of severe dizziness or have lost consciousness?
Have you ever suffered from unusual shortness of breath at rest or with mild exertion?
Has the doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or that may be made worse by exercise?
Do you have either high or low blood pressure?
Are you currently on any prescribed medicines that may affect your ability to exercise?
Are you pregnant or have you had a baby in the last 6 months?
Do you know of any other reason that would affect your ability to participate in physical activity?
FORTIS Gym Limited - Booking/Cancellation Policy
FORTIS Gym Limited - Personal Training Cancellation and Scope of Practise Policies
FORTIS Gym Limited - 16-18s Policy
IMPORTANT: To participate in an adults class or Personal Training session at FORTIS, you must be 16 years or older.
If you are aged between 16 and 18, you agree to our 16-18s Policy: https://fortismindbody.com/docs#16-18s-policy
FORTIS Gym Limited - Gym Rules
FORTIS Gym Limited - Teens Policy | Parental Consent Form
Confidentiality: Details on this form will be held securely and will only be shared with coaches or others who need this information in order to meet the specific needs of your child.
Parents/guardians of FORTIS Teens/Girls Club members are asked to provide and update any relevant medical information, as well as alert the FORTIS staff of any injuries in writing. This data will be shared with FORTIS coaches in case they need to contact you/administer First Aid/deal with an emergency involving your child. The hard copy of your completed form will be retained by the owner of FORTIS Gym Limited until your child ceases to be part of a FORTIS Teens/Girls Club.
In signing this:
- you accept and understand that whilst every precaution is taken to ensure that accidents do not happen, FORTIS Gym Limited cannot be held responsible for any injury sustained by my child;
- you understand and accept that should the need arise, the FORTIS staff will seek emergency treatment and/or administer emergency First Aid, and that the person with parental responsibility will be contacted as soon as possible;
- you have read and agree to terms of our Codes of Conduct Policy: https://www.fortismindbody.com/docs#codes-of-conduct
- you have read and agree to terms of our Duty of Care for Juniors Policy: https://fortismindbody.com/docs#duty-of-care-for-juniors-policy
- you have read and agree to terms of our Safeguarding and Welfare Policies: https://fortismindbody.com/docs#safeguarding-and-welfare-policy
Are there any activities in which your child can NOT participate?
Does your child have any medical conditions, special needs or disabilities?
Is your child taking any regular medication (including asthma inhalers)?
We may occasionally need to administer First Aid or offer a plaster to your child. Is your child allergic to plasters?
Do you give permission for us to offer a plaster to your child if necessary?
Do you give permission for First Aid to be administered to your child?
Have you read our Codes of Conduct Policy and agree to the terms?
Have you read our Duty of Care for Juniors Policy and agree to the terms?
Have you read our Safeguarding and Welfare Policies and agree to the terms?
I am happy to be added to the FORTIS Teens/Girls Club Parents WhatsApp group.
I give permission for the FORTIS staff to take photographs and/or video of my child.
I grant FORTIS the full rights to share the photography/video taken for publicity purposes, including (but not limited to) on the FORTIS social media platforms.