MEDICAL DISCLAIMER & CONSENT FORM

First Name

Phone

Address

Date of birth

Date of Paddleboarding activity

Emergency contact name

In case of emergency contact number

Previous relevant experience

How would you describe your fitness level?

Are you able to swim?

Are you on any medication? If so please detail what and why.

Do you suffer from asthma or have any other breathing difficulties?

Please advise of any allergies

Do you suffer from diabetes, epilepsy, or a mental disorder?

Do you often feel faint or have spells of dizziness?

Are you pre/post-natal?

I confirm I have no history of heart problems, chest pains, strokes, high blood pressure, angina, or other cardio conditions that I have been advised by doctors could be aggravated by exercising?

I confirm I have no history of muscular, joint, bone conditions that I have been advised by a doctor could be aggravated by excercise?

I confirm I have no history of other chronic illness or conditions that you have been advised by a doctor could be aggravated by exercise?

If you have answered yes to any of the above questions you confirm that you have sought medical advice and they are happy for you to take part in an exercise program?

I will bring any medication I need on my person (inhaler, epi-pen etc) with me for the session.

I am below 110kg in weight (Note the maximum weight we can take on our standard boards is 110kg)

Any other issues that you need to inform us of which may have an impact on your ability to paddleboard?

Date of completing form

I have read, understood and agree to the Terms & ConditionsView Terms

I have read, understood and agree to the risk and consent formView Terms

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