Integral Pre-Activity Questionnaire
The purpose of this form is to advise Integral of any increased risk of injury or illness you may experience as a result of participating in physical activity. Please complete this information carefully prior to commencing your first class. If any of the below information should change, please advise Integral.
A parent or guardian must complete the pre-activity questionnaire for each child under the age of 18.
The information contained in this form is confidential and is subject to the laws and regulations contained in Australian privacy laws.
Permission to participate in Integral program activities
I have voluntarily chosen to participate in fitness activities offered by Integral. I have answered the questions below to the best of my ability and affirm that my physical condition is good and I have no known conditions that would prevent me from participation. I acknowledge that participation is at my own pace and comfort level, and that I may discontinue my participation at any time.
Furthermore, I agree to self-determine my exertion through good judgement and to discontinue any activity that exceeds my personal limitations. I understand that by signing this agreement that I hereby waive and release Integral company, staff and all relevant employees in any way from liabilities or demands as a result of injury, loss, or adverse health conditions as a result of my participation. I affirm that I have read and understand this document and I wish to participate in fitness activities.