We’d love to have you join the back2it Health & Fitness community
All questions are mandatory, please fill them all out.
Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?
Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?
Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?
Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
If you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months?
Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?
Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?
Are you interested in Personal Training sessions?
Are you training for a specific sport or event?
Do you have any exercise dislikes?
Where did you heard about us?
Disclaimer: If you have answered no to all of the above questions and you are confident that you have no other concerns with your health, then you may proceed to participate in physical activity. If you have answered yes to any of the questions above or are unsure, please seek a referral from your GP or allied health professional before commencing physical activity.I believe that to the best of my knowledge, all of the information I have supplied within this form is correct.
YOU’LL CHOOSE YOUR MEMBERSHIP ON THE NEXT PAGE