If you are over 69 years of age and are not used to being very active, please check with your doctor before you take part in physical activity.

Please read the following information carefully and confirm you agree with the statements. 

Health Declaration

To the best of my knowledge, I confirm that:

• I have not been advised by my doctor that I have a heart condition and that I should only do physical activity recommended by a doctor.
• I do not experience pain in my chest during physical activity.
• I have not experienced chest pain in the past month when not engaged in physical activity.
• I do not lose balance due to dizziness and I do not lose consciousness.
• I do not have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in my physical activity.
• I am not currently being prescribed medication by my doctor for blood pressure or a heart condition.
• I am not aware of any other reason why I should not take part in physical activity.

If any of the above statements are inaccurate, I understand that I should consult with my doctor to clarify that it is safe for me to become physically active at this time and in my current state of health.

Participation Acknowledgement

If all of the above statements are accurate, I understand that it is reasonably safe for me to participate in physical activity, gradually building up from my current ability level. I understand that a fitness appraisal can help determine my ability levels.

I confirm that I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise and understand that participation involves a risk of injury.

I acknowledge that I am responsible for my own safety when arriving at and leaving the home studio, including walking from my vehicle or on foot via the driveway or access path & through the side access up the garden to the studio. I understand that the provider is not liable for slips, trips or falls outside of supervised sessions, except where required by law.

Note: This PAR-Q becomes invalid should my condition change.

By booking a Pilates Class with SONA, I confirm that I have read, understood, and agree to all of the above statements and declarations.