Participation Waiver

To participate in one of our sessions please fill out the following medical form

First Name

Email Address

Last Name

Date of Birth

Do you have any history of heart problems, chest pain, strokes, high blood pressure, angina or other cardiovasuclar conditions?

No

Yes

Do you have any history of muscular, joint or bone conditions that you have been advised by your doctor could be aggravated by exercise?

No

Yes

Do you have any other history of illnesses that your doctor has advised could be aggravated by exercise?

No

Yes

Can you confirm that you have sought medical advise and you are allowed to participte in moderate to intense exercise session

Declaration

I confirm that I can swim 50m unaided and I will bring any medication I need on my person for my session

I declare that the info I’ve provided is accurate & complete

Initials

Today's Date

I have read and accept the terms & conditions

View terms of use

Thanks for submitting!

Our Partners

Ramsgate, Kent

Maidenhead, Berkshire

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