Introduction to Pilates at Life Fit Wellness
This form includes an instructional video to provide you with information that will allow you to maximally enjoy the class as well as helping you to exercise safely during one of our classes. There is also a Physical Activity Readiness Questionnaire (PAR-Q) for you to complete.

It is mandatory that you watch the video and complete all of the PAR-Q form.

You are also required to read and agree to the declaration section.

Once you have completed all of these sections, one of our team will be in touch by phone to find out a little more about you and then we can get you set up to join our classes.
Email *
Please watch this Introduction to Pilates at Life Fit Wellness instructional video.
I confirm that I have watched and listened to the above instructional video and that I have no concerns about my ability to participate in a Virtual Pilates class at Life Fit Wellness. *
Physical Activity Readiness Questionnare (PAR-Q)
Please read each question carefully and answer each one honestly.
This questionnaire is to be used by individuals between the ages of 15 and 69. If you are over the age of 69 please check with your doctor before participating in physical activity.
Please complete ALL sections of the PAR-Q form.
Has your doctor ever said that you have a heart condition AND that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you are not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem that could be made worse by a change in your physical activity? (Examples: back, hip or knee) *
Is your doctor currently prescribing drugs for your blood pressure or heart condition? *
Do you know of ANY OTHER REASON why you should NOT do physical activity? *
If you answered yes to any of the above questions please describe in more detail as to why you answered "yes".
"I have read, understood and completed the questionnaire. By selecting 'Agree' it will act as my signature on this questionnaire." *
DISCLAIMER: BY JOINING AND PARTICIPATING IN THE ONLINE CLASSES DELIVERED BY LIFE FIT WELLNESS LIMITED, I ACKNOWLEDGE AND AGREE TO THE FOLLOWING: 1. I am aware that Life Fit Wellness is here to serve me by sharing knowledge of exercise modalities. 2. I recognise that at times these activities may be strenuous. 3. I know I have the right to choose what exercises I do or do not perform in addition to withdrawing from exercises. 4. During and after exercise there exists a potential for adverse effects such as muscle soreness and stiffness, or medical problems. 5. It is my responsibility that there is no medical reason to prevent my participation. 6. By my participation in any of these activities I present to you that to my knowledge I am physically fit 7. I assume full risk for any injuries that I incur and waive any claim that I might at any time for injury of any sort against Life Fit Wellness. "I have read, and understood the above disclaimer. By selecting 'Agree' it will act as my signature on this questionnaire." *
Full name: *
Date of Birth: *
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Address: *
Best Phone Number: *
We may wish to contact you by phone once you have completed the questionnaire if we have any questions. Do you consent to being contacted by phone? *
Date: *
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Form complete
Thank you for taking the time to complete this induction process. Once we have reviewed your answers, one of our team will be in touch to organise class credit purchase and go through the online class booking process and get you set up for your first virtual class.

We look forward to welcoming you to a Life Fit Live Virtual Pilates Class soon!
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