top of page
Image by Sumner Mahaffey

ParQ & Consent Form

Please fill out this health screening form and consent for safe and professional practice of fitness classes/sessions with Adonis-V-Training. Please notify your instructor that you have completed this form and provide them with information of any health concerns.

Date of birth
Day
Month
Year
Do you have or have ever suffered from:

Terms and Conditions


  • I confirm the information I have provided is true and correct.

  • If there are any changes to my health circumstances I agree to discuss them with my instructor and adhere to recommendations.

  • I recognise that the instructor is not able to provide me with medical advice with regard to my medical fitness and that the information is used as a guideline to the limitations of my ability to exercise safely.

  • I understand that all programs written for me and advice given are a guideline and are based on the instructors knowledge and are specific to me to the best of the instructors ability based on experience.  

  • I also understand that I may be participating in activities which may include aerobic exercise, resistance exercise, stretching and calisthenics/gymnastic type movements, I realise that my participation in these activities involves the risk of injury and even the possibility of death. Furthermore, I hereby confirm that I take full responsibility and I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me.

  • Without penalty or prejudice, I consent to exercise at my own risk and to discontinue areas of exercise where I or the instructor feel it is unsuitable for my health.

  • I have read and understood the terms and conditions above and agree to abide by them.


  • Photography and Filming: I understand instructors and participants may be filming/taking photos during classes/sessions and unless I inform my instructor directly, I consent to being in the background/foreground of this media.

Single choice
I agree to the terms & conditions
Single choice
I am signing on a child's behalf as a parent/guardian of a persons under 18 years of age.
Date
Day
Month
Year
bottom of page