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Par Q and Agreement Questionnaire 

Before filling in the form below, please read the information written here to make sure you are safe and eligible to train.

By submitting the form below I am agreeing to the terms and conditions laid out before me on the sign in sheet and agree to inform the coach taking the session of any change in my wellbeing that may affect my ability to train in the classes before they commence.
In consideration of being allowed to participate in the activities and programmes carried out and to use the facilities and equipment owned and/or under the control of Primal Fitness ltd in addition to the payment of any fee or charge, I do hereby waive, release and forever discharge Primal Fitness ltd from any and all responsibility or liability for injuries or damages resulting from my participation in any activities or my use of equipment or facilities in the above mentioned activities.
I understand and I am aware that strength, flexibility and aerobic exercise, including the use of equipment, in the classes, are potentially hazardous activities. I also understand that exercise and fitness activities involve a risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and facilities with the knowledge of the dangers involved. I hereby agree to expressly assume and accept all and any risks of injury or death.
I am aware that I have the right to request advice from Primal Fitness ltd, at any time, in relation to the activities and exercise being undertaken and, but not exclusively, their suitability for me, with particular regard to my health and clothing. If I choose not to take advice, or to disregard any advice so given, I do so voluntarily and accept liability for all resulting injuries or damage.
I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease or infirmity or other illness (other than those declared on the attached medical questionnaire) that would prevent my participation or use of equipment or facilities except as herein stated.
I acknowledge that I have either had a physical examination and have been given my doctors permission to participate, or that I have decided to participate in activity and use of equipment and machinery without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of equipment and machinery in my activities. In addition Primal Fitness ltd cannot accept responsibility for valuables left with the coach in charge.
Remember to inform the coach taking the session of any changes in your wellbeing before the class, if in any doubt; seek your doctor's advice, as to your suitability to take part in Physical activity.
I understand that it will be necessary for Primal Fitness ltd to maintain my personal records from the information I have given above. Any information held concerning my personal details which is personal data and which is processed by Primal Fitness ltd for these purposes shall be processed only in accordance with the Data Protection Act 1998. I also understand that whilst I’m taking part in any of these classes/sessions or events that there may be photos taken. Any pictures that I appear in, by submitting the form below, I am giving my permission for the use of these photos.



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