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Warriors Health & Contact Form
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Email address *
Name *
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Phone number *
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Address *
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Emergency Name and Contact *
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Date of Birth *
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Has your doctor ever said you ave a heart condition or need doctors recommendation to exercise ? *
Do you ever feel pain in your chest when you do physical activity ? *
Have you ever had chest pain when not taking part in physical activity ? *
Do you ever feel faint or have spells of dizziness ? *
Do you have joint problems that could be made worse from exercising ? *
Have you ever been told you have high blood pressure *
NoAre you currently taking any medication that the instructors should be aware of ? *
Your answer
Are you pregnant or have you had a baby in the last 6 months ? *
Is there any other reason why you should not participate in physical activity *
Thermovibe Fitness Trading as #WARRIORS does not accept any liability or responsibility for any injuries that may happen at any class, do you understand and agree that you are willingly taking part in any of our sessions by your own risk we also accept no liability for any items or property lost or stolen this in any of our venues - you are also agreeing to photography and images to be taken during sessions and to be posted on social media with or without your name we will also use your email address to subscribe you the the notifications and news letter section of our website to keep you updated on events sales and emergency information do you agree to this ? *
A copy of your responses will be emailed to the address you provided.
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