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{first_name} - First name

{name} - Full name

{dob} - Date of birth

{address} - Member address

{phone} - Phone number

{contact_name} - Emergency contact (if member has any)

{contact_phone} - Emergency contact phone

{contact_relation} - Emergency contact relation

MEDICAL HISTORY QUESTIONS

(Please another all to the best of your knowledge. For members under 16 an appropriate adult should answer/ sign on their behalf)

• Do you have any existing medical conditions? (e.g., heart disease, asthma, diabetes)
• Are you currently taking any medication that may affect your ability to exercise safely?
• Have you had any recent surgeries or injuries that may impact your training?
• Do you have any allergies that staff should be aware of?
• Are you currently pregnant or have you given birth in the last six months?
• Do you experience dizziness, chest pain, or shortness of breath during physical activity?
• Do you have any physical limitations or mobility concerns?
• Is there anything else we should know to ensure your safety while exercising?