Gym / Fitness Class Client

Gym / Fitness Class Client

 
 
 
 
 
Emergency Contact 1
 
Emergency Contact 2
Please complete below questions related to your physical health, if you suffer with any Heart problems, breathing issues or fainting episodes while exercising, Please only exercise if recommended by a doctor
Please give as much detail as possible
Please give as much detail as possible
 
Please give as much detail as possible
Insert Name
Date of consent