Bookings - Go Active Outdoor Fitness Boot Camp

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Are you currently Pregnant?*

No
Yes

Do you have diabetes?*

No
Yes

Do you suffer from high blood pressure?*

No
Yes

Have you ever had a heart condition or been diagnosed with a condition?*

No
Yes

Do you ever experience feelings of faintness, severe dizziness, excessive breathlessness, or have you blacked-out after mild exertion?*

No
Yes

Have you ever had pain or felt pressure in the left or mid-chest area, or in the left side of your neck, shoulder or arm, particularly during or shortly after exercise?*

No
Yes

Have you ever had pain or felt pressure in the left or mid-chest area, or in the left side of your neck, shoulder or arm, particularly during or shortly after exercise?*

No
Yes

Have you ever experienced any of the following?*

Any other medical or physical reasons why you should not partake in physical activity?*

The member exercises at his/her own risk and the instructor of Go Active cannot be held responsible for any injury or damages that the member may occur during any training sessions. The member should inform the trainer from Go Active of any injury or medical condition that he/she might have before commencement of any exercise. Please be aware that your trainer cannot diagnose and/or prescribe treatment for any form of injury, disease or other medical condition.*

Agree

Please check box if you agree to terms

Sign Up for Boot Camp

HR de Beer

Registration Form for Go Active Boot Camp

Step 1 of 2 - General Information

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