Health Declaration

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the first session you partake in.

First Name

Last Name

I understand that i should seek medical advise before particpating in any physicla activity

Do you have any pre-existing medical conditions or injuries to declare?

Yes

Date

Initials

I confirm that the information given in this form is true

The classes provided by Freedom 2 Dance are for homefitness designed to be delivered virtually in your home. Exercise is not without risk this or any other exercise programme may result in injury. They include but are not limited to: agravation of a pre-existing condition, or an adverse effact of over exertion such as muscle strain, abnormal blood pressure, fainting, disorders of heart beat and very rae instances of heart attack. To reduce the risk of injury before beginning this or any exercise programme or class, please consult a health care provider for an appropriate exercise prescription and safety precautions. The exercise instruction and advise presented in the classes are in no way intended as a substitute for medicalconsultation. Freedom 2 dance Ltd disclaims any liability from and in connection with the classes.

Thanks for submitting!