PARQ

Which Comets session/s are you interested in?
Name*
Date of birth:*
Address*
Mobile number*
Are you happy to be added to the relevant session WhatsApp group? e.g. Buggy walk, running, cycling.
E-mail*
Next of kin*
Next of kin contact number*
How did you find out about Comets?
What would you like to get out of the group?
Other
Are you currently involved in any other forms of exercise?*
If Yes, what type and how often?
Have you done any walking/running/ cycling before?
If Yes, what type of walking/ running/ cycling and how often?
Do you have any health considerations we ought to know about?*
If Yes, please explain
Have you been pregnant?*
Have you given birth?
How long ago did you give birth?
Was the delivery
Have you experienced any of the following?
Have you had your 6 week GP check and been given the all clear to exercise?
Are you currently breastfeeding?
Do you suffer from any of the following?*
Any condition requiring medication?*
Please specify
Any other relevant information?

PLEASE READ THE FOLLOWING AND SIGN BELOW:
Walking / Running / Cycling Group Leaders are qualified leaders and are willing to share their experience and enjoyment of the sport with me. I confirm that I understand that participation in this group is entirely at my own risk and should consult my own doctor if suffering from any condition that might make these activities injurious to my health.
For Buggy Walkers: I understand that I am joining a buggy walking group at my own risk and accept full responsibility for the health and safety of the infant(s) and any equipment I attend with.

By ticking this box you indicate that you understand the content above and that you have answered all questions as accurately as possible.*
Date:
PHOTOGRAPHS: We may use photos taken during sessions to promote the Comets group on our Facebook page and Website. Please choose NO if you are NOT happy for us to use your image in our marketing.*

Fusing Fitness & Fun