Muscle Garden - Pre-Exercise Form

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* Required






Do you suffer from or have you experienced any of the following? *


Heart Condition
Diabetes
Infections/Infectious Diseases
Muscular Pain or Cramps
Back Pain
Heart Disease or Stroke
High/Low Blood Pressure
Constant Headaches
Major Injury
Heart Palpitations
Arthritis
Epilepsy
High Cholesterol
Hernia
Chronic Cough
Asthma
Pain/tightness in the Chest
Exercise induced Headaches
Liver/Kidney Conditions
None



If you answered ‘Yes’ to any questions about your health, you must present a clearance from your doctor enabling you to partake in an exercise program.


I the above stated agree that all the details provided are true and correct and that I have no additional health or medical conditions that aren't stated above that may prohibit me from training with Muscle Garden Health and Fitness Centre.