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I understand that whilst every care will be taken to give safe instruction, I accept full responsibility and consider myself fit to exercise. I have answered all questions correctly and all medical and health considerations are noted above.

 

PLEASE NOTE IT IS YOUR RESPONSIBILITY TO INFORM YOUR INDIVIDUAL INSTRUCTOR OF ANY MEDICAL CONDITION THAT MAY AFFECT YOUR HEALTH WHILST UNDER THEIR INSTRUCTION AS THE INFORMATION DECLARED ON THIS FORM IS NOT PASSED ON TO ANYONE.

I agree to the above statement
Have you lost your consciousness in the last past 12 months?
Emergency contact details
COVID-19 WAIVER - PLEASE READ
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