Regular physical activity is fun, safe and healthy for almost everyone. However, some people may have health related risk factors that may be aggravated by participation in a physical activity program and should check with their doctor before they start a program or become more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.
Please read the questions carefully and answer each one honestly: check YES or NO. All information will be kept confidential.
If you answered YES to one or more questions:
It is recommended to talk with your doctor by phone or in person BEFORE you start a program or become much more physically active. Tell your doctor about the PAR-Q and which questions you answered YES.
– You may be able to do any activity you want—as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.
Delay becoming much more active:
– If you are not feeling well because of a temporary illness such as a cold or a fever—wait until you feel better; or
– If you are or may be pregnant—talk to your doctor before you start becoming more active.
Please note: If your health changes so that you then answer YES to any of the above questions, tell the CG Bootcamp Instructors and consult your Doctor. Ask whether you should change your physical activity plan.
I desire to engage voluntarily in the CG BootCamp in order to improve my physical fitness. I understand that the
purpose of the camp is to improve, develop and maintain cardio respiratory fitness, muscular strength and endurance. I understand that I am responsible for monitoring my own condition throughout the exercise program and should any
usual symptoms occur, I will cease my participation and inform the instructor of the symptoms. In signing this consent
form, I will affirm that I have read this form in its entirety and that I understand that the nature of the exercise program. I also affirm that my questions regarding the camp have been answered to my satisfaction. Also in consideration for being allowed to participate in the program, I agree to assume the risk of such exercise, and further agree to hold harmless CG Bootcamps, Callum Gomersall from any and all claims suits, losses or related causes of action for damages, including but not limited to, such claims that may result from my injury or death, accidental or otherwise, during or arising in any way from the exercise program.
I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.