Child PARQ Welcome to our Children’s PARQ (Physical Activity Readiness Questionnaire) Child Physical Activity Readiness Questionnaire (PARQ) Please answer all questions below: Does your child have or have they ever experienced the following; High or Low blood pressure? YesNo Chest pains brought on by physical activity? YesNo Elevated blood cholesterol? YesNo Diabetes? YesNo Dizziness or Fainting? YesNo Bone, Joint or Muscular problems? YesNo Epilepsy? YesNo Asthma or any other respiratory problems? YesNo Allergies? YesNo Taking any medication? YesNo Has your doctor ever advised your child not to exercise? YesNo Is there any reason not mentioned above why any type of physical activity may not be suitable for your child? YesNo Please can you enter your personal details, you will receive an email with a copy of the PARQ form (pdf). Today's Date: Child's Name (required) Date of Birth(required) yy or yyyy Parent or Guardian Name (required) Your Email (required) Full Address (required) Phone (required) / Message Recomended max 240: 0 / 240. Consent. In signing this form, I the parent/guardian of the afore mentioned child, affirm that I have read this form in its entirety and I have answered questions accurately and to the best of my knowledge. I understand that my child is responsible for monitoring him/herself throughout any activity and should any unusual symptoms occur, they would cease participation and inform the instructor. In the event that medical clearance must be obtained prior to my child’s participation in any exercise class, I agree to contact their GP and obtain written permission and be given to the instructor. I understand that if my child fails to behave in a manner that is appropriate, he/she could be suspended from the activity. * 2, I understand that NDA Fitness will keep and use the personal information given on this form, in accordance with the GDPR The General Data Protection Regulations for data protection and privacy Please view our privacy policy for information on PARQ's : I do not agreeI agree We will now save/store your PARQ information. You have answered "Yes" to one or more of the above questions. You must have your doctor's written consent before undertaking any exercise class/session provided by NDA Fitness. If you would like us to contact you. Please click here. We do not track or store any of the above information. When you leave this page it's gone forever. Δ
