Health Questionnaire

In consideration I am allowed to participate in the activities of UK Outdoor Fitness and to use the facilities and equipment owned and/or under the control of UK Outdoor Fitness staff, in addition to any payment or fee or charge, Uk Outdoor Fitness/ Instructors will compensate you for any loss or damage you may suffer if we fail to carry out our obligations under this agreement or to a reasonable standard or breach any duties imposed on us by law (Including if we cause death or personal injury to you by our negligence) unless that failure is attributable to:

(i) your own fault; (ii) a third part unconnected with our provision of service under this agreement; or (iii) events which neither we nor our suppliers could have forseen or forestalled even if we had taken all reasonable care.

I understand and I am aware that strength, flexibility and aerobic exercise, including the use of equipment, in the outdoors, are potentially hazardous. I also understand that exercise and fitness activities involve a risk of injury and even death. I acknowledge I am voluntary participating in these activities and using equipment and facilities with my knowledge of the dangers involved.

I am aware that I have the right to request advice from any of the UK Outdoor Fitness staff, at any time, in relation to the activities and exercise being undertaken and but not exclusively, their suitability for me, with particular regard to my health and clothing. I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease or infirmity or any other illness, (other than on the signed medical questionnaire), that would prevent my participation or use of equipment or facilities except as herein stated.

I acknowledge that I have either had a physical examination and have been given permission by my doctor to participate, or that I have decided to participate without the approval of my doctor and do hereby assume all responsibility for my participation in the activities and use of equipment in my activities. Our liability to compensate you of valuables left in an instructors car (in case of loss or damage) is limited to a reasonable amount regard to such factors as whether the damage was due to a negligent act or omission by you

Date / Time

You do not need to bring this form as we have a copy send for our records

In Case of Emergency Call *

In Case of Emergency Contact