Note: Any information disclosed to Complete Performance will remain confidential between Complete Performance and myself.
Group session(s) that I plan to attendRunCycleMTBKayakGym
How did you find out about us? -Word of mouthAt an eventReferral from a physio, podatrist etcClothingPublicationsWebsearchOther
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
Age If under 18 Parent/Guardian’s Name Contact number
Date of Birth
Emergency Contact Name Emergency Contact Number
DiabetesNoYesStress or High Blood PressureNoYesAsthma or Respiratory IllnessNoYesHeart or Chest PainsNoYesEpilepsy, Fainting or DizzinessNoYesArthritisNoYesNeck or Back PainNoYes
Are you presently taking any medication on a regular basis? NoYesIf yes please list
Do you currently participate in regular physical activity? YesNoDo you smoke? NoYesBlood pressure NormalHighLowDon't knowDo 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.
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
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.
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