Physical Activity Readiness Questionnaire
This questionnaire is for the health and safety of yourself and the participants of your group, and will help us identify any possible health problems that might be of concern when taking part in a Bounce Studios event. Please check each point carefully and if in doubt, speak to your instructor prior to the commencement of your event. By signing this form you will confirm the following on behalf of yourself and your participating group:
- A doctor has never said that you or anyone in your group has a heart condition and recommended only medically supervised activity.
- You or anyone in your group has never had chest pains brought on by physical activity.
- You or anyone in your group has not developed chest pains in the last month.
- You or anyone in your group does not lose consciousness or fall over as a result of dizziness.
- You or anyone in your group does not have a bone or joint problem that could be aggravated by exercise.
- A doctor has never recommended medication for you or anyone in your group in relation to blood pressure or a heart condition.
- If you have answered no to all questions accurately, you have a reasonable assurance that you and all participants are suitable for dancing as exercise.
Please also confirm, by naming and dating below, that no-one in your group suffers from any medical condition that your instructor should be aware of (Including pregnancy, recent birth and any minor operations).
Waiver of liability and assumption of risk
COVID-19: Our COVID-19 procedures will be sent to you once you have paid your final party balance. By signing below, you agree to read this thoroughly, pass onto all participants and adhere to instructions at all times. Bounce Studios Ltd are not liable for any COVID-19 illness or symptoms experienced after your party.
Please also name and date below to hereby waive and release any and all claims whether personal injury, damage (including property), losses and/or death that may arise from all participation in/on aforementioned event/s. You accept, assume and undertake the risks on behalf of yourself and your group, and agree to using your best judgement and to abide by all safety instructions and recommendations, whether oral or written.
You hereby certify that either you and all participants in your group are competent adults assuming these risks of your own free will, being under no compulsion or duress. Alternatively, you are signing as a responsible adult on behalf of any children taking part in a Bounce Studios activity. This waiver of liability and assumption of risk is effective from the afore-mentioned date and is valid up until the completion of the agreed activity undertaken with Bounce Studios Ltd, and may not be revoked or amended without a prior written consent form.
Photography and video: I understand that any footage, photos or videos, taken by the instructor are the property of Bounce Studios Ltd and may be used for advertising and promotional purposes. Please note – No photography or video will be taken of children’s classes.