Physical Activity Readiness Notice

Physical Activity Readiness Notice

IMPORTANT – Please complete and sign this form BEFORE taking part in any Healthy Active Lifestyle Activity.

Welcome! You have been invited by your fitness coach, to participate in activities as part of my 24FitCamp.
These activities are organised and run by me as a coach to bring together like-minded people within the community. I may not be a qualified personal or sports trainer etc. Be aware of your fitness levels and abilities when considering participating in a 24FitCamp.
As your coach, I encourage you to participate in activities at your own pace and to rest whenever needed. If you experience any pain or discomfort when carrying out an activity you are advised to stop the activity immediately and consult your doctor.
In addition, if any of the following apply to you then I advise you not to participate in my 24FitCamp (and if you nonetheless choose to do so then you do so it is entirely at your own risk):
• You have a heart condition;
• You have been advised to engage only in physical activity that is recommended by a doctor;
• You feel pain in your chest when you engage in physical activity;
• In the past month, you feel pain in your chest when not engaged in physical activity;
• You have lost your balance due to dizziness;
• You have ever lost your consciousness;
• You have a bone or joint problem (for example, back, knee, or hip) that could be made worse by exercise;
• You have been prescribed medication for a blood pressure or heart condition;
• You are pregnant or have had a baby in the last 6 months; or
• There are any other reasons why you should not participate in physical activity.



I, , wish to participate in the 24FitCamp activities run by my coach. I understand there are inherent risks in participating in exercise and other physical activities. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience any pain or discomfort, I am to stop the activity immediately and consult my doctor. By completing and signing this Acknowledgement, I agree that I have read, understood and acknowledged each of the statements that are set forth within the Physical Activity Readiness Notice and this Acknowledgement.

Leave this empty:

24 Fit Burnley
Signature Certificate
Document name: Physical Activity Readiness Notice
Unique Document ID: dc88830078978a96ec09e41c471489648017edaf
Timestamp Audit
December 18, 2017 3:56 pm ISTPhysical Activity Readiness Notice Uploaded by francesco musso 24 Fit - IP