Inclusive Fitness Pre-Activity Form

Inclusive Fitness Pre-Activity Form

Use this form to provide us with your contact details and to inform of us any adaptions we can make to help improve your experience
Participants name*

First NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Email*
example@example.com
Emergency contact name*

First NameLast Name
Emergency contact number*
Emergency contact number
Please enter a valid phone number.
What would you like to achieve from coming to the gym sessions?*
Are there any worries you have about the gym, and anything we can do to help?*
Do you have a cognitive or physical disability? Please describe below.*
Will you be accompanied to the Inclusive Fitness session (PA/Carer)?*

YesNo
If yes, how will this person be supporting you in the session?
Where did you hear about the inclusive fitness session?
Should be Empty: