Parent/Guardian PARQ Form

This form is intended for parents or guardians completing the Physical Activity Readiness Questionnaire (PAR-Q) on behalf of their child. If you are looking to complete the Adult PAR-Q form instead, please click here.

Before your child's first session, we need to understand a bit about your child's health.
This short questionnaire helps us ensure that physical activity is safe for them.
Please answer each question honestly and to the best of your knowledge.
It only takes a few minutes and your responses will be kept strictly confidential.

1. Has your doctor ever told you that your child has a heart condition or that they should only do physical activity recommended by a doctor?
YesNo

2. Does your child ever experience chest pain during physical activity?
YesNo

3. Has your child experienced chest pain when not exercising in the past month?
YesNo

4. Does your child lose your balance because of dizziness, or have they ever lost consciousness?
YesNo

5. Does your child have any bone or joint problems that could be made worse by exercise?
YesNo

6. Is your child's doctor currently prescribing medication for their blood pressure or a heart condition?
YesNo

Important: If you have ticked any of the "yes" boxes above your child must have their doctor's written consent before undertaking any exercise class/session provided by NDA Fitness.

7. Has your child been pregnant or given birth within the last 6 months?
YesNo

8. Do you know of any other reason why your child should not participate in physical activity?
YesNo

Do you want to change any of your answers?
YesNo

Thank you for completing the PAR-Q form

Great news - you answered "No" to all the questions.

Please fill in your and your child's personal details below so we can safely record your PAR-Q submission.

Your form will be sent securely via email to NDA Fitness - you won’t need to download anything.

Child's Details

* Child's Full Name

* Child's Date Of Birth

Parent Details

* Your Full Name

* Relationship to Child

* Your Email

* Your Date Of Birth

* Your Contact Number

* Your Full Address

Any additional information

0 / 240.

* Required field

Consent & Confirmation

Medical Clearance

I confirm that I am the parent or legal guardian of the child named above, and that I have read, understood, and accurately completed this questionnaire on their behalf.

I understand that my child is responsible for monitoring themselves during physical activity and will stop immediately and inform the instructor if any unusual symptoms occur.

If medical clearance is required before participation, I agree to obtain written permission from my child’s GP and provide it to the instructor before joining any class.

I will notify NDA Fitness if any of the information I have provided changes, or if my child’s health changes.

Participation Declaration

I declare that I have answered this questionnaire truthfully and to the best of my knowledge.

I understand the risks associated with physical activity and give consent for my child to participate in NDA Fitness sessions.

I acknowledge that if my child behaves inappropriately during any session, they may be suspended from participation.

GDPR Agreement

I consent to NDA Fitness collecting and using this information solely for the purpose of assessing my child's readiness to participate in physical activity and ensuring their safety during training.

I understand that this information includes health data and will be stored securely.

This information will be retained for up to 10 years from the date of submission, or until I request its deletion, whichever occurs first.

Read our Privacy Policy

Your form data is sent securely via email and is not stored on this website.

Please leave this field empty.

You answered “Yes” to one or more questions

To ensure your child's safety, you must obtain written consent from their doctor before allowing them to take part in any exercise sessions provided by NDA Fitness.

If you have any questions, need assistance or would like us to contact you, please click here to get in touch.

We do not track or store any of the above information. When you leave this page it's gone forever.