To register to our gym please fill out the following medical form
If you answered YES to one or more questions:
If you have not already done so, consult with your doctor by telephone or in person before increasing your physical activity and/ or taking a fitness appraisal. Inform your doctor of the questions that you answered ‘yes’ to on the PAR-Q or present your PAR-Q copy. After medical evaluation, seek advice from your doctor as to your suitability for:
1. Unrestricted physical activity starting off easily and progressing gradually, and …
2. Restricted or supervised activity to meet your specific needs, at least on an initial basis.
If you answered NO to all questions:
If you answered the PAR-Q honestly and accurately, you have reasonable assurance of your present suitability for:
1. A graduated exercise programme, 2. A fitness appraisal.
ADDITION TO CURRENT PAR-Q AND ASSUMPTION OF RISK AND RELEASE OF LIABILITY
Please understand that despite all the precautions that you, other members, and/or BASIX GYM LIMITED may take, we cannot guarantee your health or safety, and you may still be exposed to COVID-19, including through interactions with other individuals who have COVID-19. By executing this release and gaining access to the facility, you, on behalf of yourself, your heirs, beneficiaries, representatives, successors and assigns: (1) voluntarily assume all risks associated with any exposure to COVID-19, including, but not limited to suffering any type of medical condition, illness and, potentially, death; and (2) knowingly and voluntarily waive, release, covenant not to sue, forever discharge, indemnify, and hold harmless BASIX GYM LIMITED, its parents and subsidiaries and their respective officers, directors, employees, contractors, agents, representatives, successors and assigns (“Released Parties”) from any and all liability, damages, losses, suits, demands, causes of action to the fullest extent permitted by the laws of this state, or any other claims of any nature whatsoever, arising out of or relating in any way to your use of the facility and your potential exposure to COVID-19.