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.Format: (000) 000-0000.
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)?
If yes, how will this person be supporting you in the session?
Where did you hear about the inclusive fitness session?
Should be Empty: