top of page
Home
Online
1:1 PT
1:1 Personal Training
Forms
Gallery
Contact
About
Shop
Log In
Please complete and submit the following form before commencing physical training with Raw4Fitness. Thank you!
Physical Activity Readiness Questionnaire (PAR-Q)
First name
Last name
Email
Date of Birth
Do you have a doctor’s permit to participate in intense physical activities?
No
Yes
Please specify anything we should know about such as a heart condition, chest pain, dizziness, bone, joint or back problems.
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions?
Please read:
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
Submit
Thanks for submitting!
bottom of page