Welcome to Boogie Bounce

 

PLEASE READ THROUGH THE FOLLOWING INFORMATION CAREFULLY.

WE WOULD BE MOST GRATEFUL IF YOU COULD SIGN AND DATE THIS DOCUMENT.

WHILST EVERY CARE HAS BEEN TAKEN WITH REGARDS TO YOUR SAFETY, WE CANNOT ACCEPT ANY RESPONSIBILITY FOR ANY INJURIES SUSTAINED DURING THIS EXERCISE PROGRAMME OR WHILST USING THE BOOGIE BOUNCE EQUIPMENT. IF ANSWERING YES TO ANY OF THE BELOW QUESTIONS YOU MUST CONSULT YOUR GP BEFORE TAKING PART.

Health Declaration

Please fill out the following form
in order to participate in our activity.

Do you tend to lose consciousness & fall over as a result of dizziness?
Has your doctor ever said you have a heart condition & should undertake supervised activity?
Do you have chest pain brought on by exercise?
Have you developed chest pain in the last month?
Has the doctor ever given you medication because your blood pressure was too high or you have a heart condition?
Do you have a bone or joint problem that could be aggravated by this exercise programme?
Are you aware, through your own experience or from a doctor's advice, any other reason why you should not take part in physical activity?
Are you currently pregrant or have been pregnant in the past 6 months?

Thanks for submitting!