Steady As You Go medical disclaimer

Thank you for joining the live-streamed Steady As You Go class. Your health and safety is of the highest importance to us.

We therefore ask that you fill in this medical declaration form. This information is kept confidential by Age Concern Wellington Region.

Steady As You Go medical declaration form
First
Last
Current Health - Please let us know if you experience any of the following:
DECLARATION: I understand underlying or significant medical conditions may increase the risk of an adverse event during exercise. I understand that I have the freedom to refuse to participate, and the right to withdraw from or discontinue exercise at any time. I recognise Age Concern has taken all practical steps to ensure my safety and I share in this commitment. I release all Instructors and Peer Leaders from responsibility should I suffer a medical event or injury as a result of attending exercise class. I understand this information will be kept by Age Concern for health and safety purposes.