Fitness First Queen's Yard 179a Tottenham Court Road London W1T 7PA
Half way between Goodge St & Warren St tubes, brisk 15mins from Euston (Map)
For more information or if you have any questions at all, please contact us direct by email
Use this form to book your place at the next induction course, taking place on Sunday 31st August 2.00-5.00 pm
Places are limited so book early. You will recieve a confirmation letter or email. If you cannot attend please notify us so we can give the place to another student.
Name*:
Street/No.*:
Town*:
Postcode*:
Phone*:
Email*:
If under 18 years, please give date of birth:
* mandatory
Health Questionare
Has Your Doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
YES NO
Do You feel pain in your chest when you exercise?
In the past month have you had chest pain when you are not doing physical activity?
Do you ever feel faint or have spells of dizziness ?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Have you ever been told that you have High Blood pressure?
Do you know of any reason why you should not do physical activity?
If you answered YES to one or more questions, please consult with your doctor before you start becoming physically active.
If you answered NO to all the questions, it is safe for you to start becoming physically active
DELAY BECOMING MUCH MORE ACTIVE
If you are not feeling well because of a temporary illness such as a cold or fever or
If you are or maybe pregnant - talk to your doctor before you start becoming more active
I understand that it is my responsibility to inform the instructors if my health status changes from the above
INFORMED USE: Your Krav Maga Instructors and the IKMF assume no liability for persons who undertake classes.
If in any doubt after completing this questionnaire consult your doctor prior to undertaking physical activity
I ACCEPT I DO NOT ACCEPT