Please read the questions below carefully and tick the box if the answer to the
question is yes
Does your child have any medical conditions or
Does your child have any heart conditions we should
Does your child experience chest pains when doing
Has your child ever experienced loss of balance or
dizziness when doing physical activity?
Is your child currently taking any medication?
Do you know of any reasons why your child should not
take part in physical activity?
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?
I give permission for photos taken at sessions to be
I give permission for first aid to be given if
I will update Brownes Bootcamp if anything
regarding my personal cirumstances (health etc) changes.
I accept the