PLEASE READ CAREFULLY
If you answer YES to any of the questions below, you may need your doctors consent before you participate in Nordic Walking. Continuing to participate after answering YES to any of the questions is at your own risk.
Has a doctor ever said that you have a heart condition and recommended only medical supervised activity?
Do you have chest pain brought on by physical activity?
Have you developed chest pain in the last month?
Do you lose consciousness or fall over as a result of dizziness?
Do you have a bone or joint problem that could be aggravated by physical activity?
Has a doctor ever recommended medication for your blood pressure or a heart condition?
Are you aware through your own experience or from a doctors advice of any other reason why you should not exercise without medical supervision?
Please outline any other relevant information that may affect your ability to exercise.
Here existing medical conditions:
I realise that my bodies reaction to exercise is not totally predictable. Should I develop a condition that affects my ability to exercise, I will inform my instructor immediately and stop exercising if necessary. I take full responsibility for monitoring my own physical condition at all times.
Select to see emergency contact details.
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