Muir of Ord Jog Scotland - Physical Activity Readiness Questionnaire (PAR-Q)

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Name of jogger

Phone number of jogger

Person to contact in case of Emergency

Name of contact

Contact number

Relationship

Are you participating in this activity programme AGAINST your doctor’s advice?

Yes

Clear selection

Please detail in the space below any medical / health conditions you have which you think your Jog Leader should know about prior to you taking part.

Have you completed your online membership to jogscotland?

Yes

Clear selection

Note: If you are a new or expectant mother please complete an enhanced PARQ form.

Formal Declaration

I declare that I have completed this questionnaire fully and honestly. I will inform my Jog Leader if there are any changes in my circumstances. I take part in any recommended programme entirely at my own risk and waive any legal recourse for damages to myself or property arising from my participation.

Tick box

Sign below

The data collected within this form is done so in line with our privacy notice for members. Please read our privacy notice in full before signing this form. The privacy notice sets out the legal basis for processing this data, how long we will keep your data for, how we protect your personal information, and your rights in relation to the personal data that we hold on you. A copy of the policy will be available from your jog leader.

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