CHILD PAR-Q AND PARENT/GUARDIAN CONSENT
ALL INFORMATION WILL BE TREATED CONFIDENTIALLY
IF YOU HAVE SELECTED ANY OF THE ABOVE AND ARE CONCERNED ABOUT YOUR CHILD DOING EXERCISE, PLEASE SPEAK TO YOUR GP BEFORE STARTING AN EXERCISE PROGRAMME
In completing this form, I the parent/guardian of the aforementioned child, affirm that I have read this form in its entirety and I have answered the questions accurately and to the best of my knowledge.
I understand that my child is responsible for monitoring him or herself throughout any activity, any should any unusual symptoms occur, would ease participation and inform the instructor.
I understand that if my child is under the age of 5 years, I the parent/guardian am responsible for monitoring him or her within their activities.
In the event that medical clearance must be obtained before my child’s participation in an exercise session, i agree to contact the GP and obtain written permission prior to the commencement of the exercise activity, and that the permission be given to the instructor.
I understand that if my child fails to behave in a manner that is polite and social, he or she could be suspended from that particular activity.
Confirm information is correct*
Confirm your responsibility*