Book a Drop-in - Westover CrossFit

Full Name

Email address

Phone number

Date of birth

Gender

Address Line 1

Address Line 2

City

Region

Postcode

Country

Medical/Injury Details

Emergency contact

Full name

Phone number

Legal Documents

Westover CrossFit - PAR-Q

PAR-Q = Physical Activity Readiness Questionnaire.
Please answer the following questions

Scroll to view entire agreement

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

Yes

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

Yes

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

Yes

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

Yes

Do you have a bone or Joint Problem that could be made worse by a change in your physical activity?

Yes

Is your doctor currently prescribing you drugs (for example, water pills) for blood pressure or a heart condition?

Yes

Do you know any other reason why you should not do physical activity?

Yes

I have read, understood and completed this questionnaire honestly to the best of my knowledge

Westover CrossFit - Social Media

I agree that Westover CrossFit has the right to take photographs, video or digital recording of me and to use these in any and all media, now and hereafter known, for promotional purposes. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. I release to Westover CrossFit all rights to exhibit this work in print and in electric form publicly. I waive any rights, claims or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other renumeration for recording me, either for initial or subsequent transmission or playback.

Scroll to view entire agreement

I’m ok with this

Yes

I have read and understood this statement

Westover CrossFit - Waiver

In consideration of the above-mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at Westover CrossFit, I, the undersigned, hereby release Westover CrossFit, their principles, agents, employees and volunteers, from any and all liability, claims, demands, actions or rights of action which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.

Scroll to view entire agreement

I have read and understood this statement