Note: Any information disclosed to Complete Performance will remain confidential between Complete Performance and myself.

Group session(s) that I plan to attend
Run
Cycle
MTB
Kayak
Gym

How did you find out about us? -Word of mouthAt an eventReferral from a physio, podatrist etcClothingPublicationsWebsearchOther

Name    

Phone   

Mobile   

I am happy to be contacted on any of these numbers or by email, and a message left if required YesNo

Email    
Retype email 

Address 

Town/City 

Age  If under 18 Parent/Guardian’s Name  Contact number 

Date of Birth 

Emergency Contact Name 

Emergency Contact Number  

Health/Medical History

DiabetesNoYes
Stress or High Blood PressureNoYes
Asthma or Respiratory IllnessNoYes
Heart or Chest PainsNoYes
Epilepsy, Fainting or DizzinessNoYes
ArthritisNoYes
Neck or Back PainNoYes

Other 

Are you presently taking any medication on a regular basis? NoYes
If yes please list 

Current Health Status

Do you currently participate in regular physical activity? YesNo
Do you smoke? NoYes
Blood pressure NormalHighLowDon't know
Do you have any current injuries that we should be aware of?

Have you had any surgery recently that we should be aware of?

If at anytime that any of the above information changes please fill out a new form and submit it to us. 

Personal responsibility

I understand that my Complete Performance Tutor will take care with my training sessions and will aim to ensure that it is at the correct level for me, the environment is safe and all participants are aware of the risks involved. If I have any questions or concerns about the sessions I will not hesitate to communicate them to my Tutor. I understand that the environments that these sessions will be conducted in can be hazardous for various reasons and I will take personal responsibility for keeping myself safe whilst participating. Therefore by choosing to complete these training sessions I will do so at my own risk.

Having such knowledge, I release Complete Performance Limited their representatives, agents, and successors from liability for accidental injury or illness which I may incur as a result of participating in the training sessions. I assume all risks connected with and consent to participate in prescribed training sessions.

Refunds policy - If I need to pull out for any reason I must give Complete Performance at least 24 hours notice so someone else can take my place. No refunds will be given after this time however I may transfer to another course date.

I have read and understand these terms and conditions -YesNo

Sharing your story and following your progress

Complete Performance enjoys sharing the progress and successes of our team.  One of the ways that we do this is by taking action photos of our group sessions and use our website/weekly update/facebook/twitter to share with the rest of our team.  If for any reason that you are not happy for us to use your image please let your coach know at the time that the picture is taken (only flattering shots will be used). Also if you complete a big adventure or event we would love to hear about it so please send us any reports, results or images so we can all celebrate your success.