HEALTH FORM & WAIVER

PHAT Cat Fit Life PAR-Q

Please complete our Physical Activity Readiness Questionnaire (PAR-Q) and waiver of liability BEFORE completing any of our workouts.

If you have any questions or concerns email admin@phatcatfit.com.

First Name

Email Address

Last Name

Birthdate

Street Address

City

Region/State/Province

Postal / Zip code

Were you referred to us by a member? *

Yes

If yes, who referred you?

Has your doctor ever said you have a heart condition? *

Yes

Has your doctor ever said you have high blood pressure? *

Yes

Do you lose balance because of dizziness OR have you lost consciouness in the last 12 months? *

Yes

Have you ever been diagnosed with another chronic medical condition? *

Yes

Are you currently taking prescribed medications for a chronic medical condition? *

Yes

Do you currently have (or have had in the last 12 months) a bone, joint, or soft tissue (muscle, ligament or tendon) problem that could be made worse by becoming more physically active? *

Yes

Has your doctor ever said that you should only do medically supervised physical activity? *

Yes

If you have answered YES to one or more of the above questions, consult your physician before engaging in physical activity. Tell you physician which questions you answered YES to. After medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.

Is there anything else you would like us to know about your health history?

By completing and submitting this form, I declare that the information provided is accurate and complete.

I certify that I have reviewed all of the terms of the Waiver of Liability Agreement, and by checking the following box, I hereby consent and agree to all of the terms.View Waiver of Liability Agreement

Your Signature

Today's Date

Thanks for completing the updated health form!

Please read the 7 questions below carefully and answer each one honestly: check YES or NO

Our mission is to serve busy middle-aged adults by giving them a convenient, fun, safe, and, affordable, way to improve and maintain their health, by providing first-class workouts, coaching, motivation, community, and resources.

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HEALTH FORM & WAIVER

PHAT Cat Fit Life PAR-Q

Please read the 7 questions below carefully and answer each one honestly: check YES or NO

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