top of page
QUESTIONNAIRE
HEALTH

& Disclaimer

To ensure your sessions with Ruth Ashdown are safe and tailored to your needs, it's important that we have a few details of your current health and medical information, along with your emergency contact details.

​

These details are held securely and in accordance with our Privacy Policy.

​

If you have any questions or need any clarification, then please get in touch.

EMERGENCY CONTACT

CLASSES

Select classes you will be attending (tick all that apply)

HEALTH & MEDICAL INFORMATION

Do you suffer, or have you ever suffered, from any of the following conditions?

IMPORTANT!

​

If you suffer from any of the conditions above, you should seek medical advice from your GP before embarking on any exercise.

Have you practised martial arts or yoga before?

I understand that Thai Boxing and Yoga includes physical movement and as is the case with any physical activity, the risk of injury is always present and cannot be entirely eliminated. I agree that during classes, I will follow the instructions given and if I experience any pain or discomfort in the course of the class, I will inform the instructor immediately.

 

Yoga, AcroYoga and Thai Boxing is not a substitute for medical attention, examination, diagnosis or treatment and I understand that it is not suitable for those with certain medical conditions. The decision to join the classes and take part in the activities is mine alone and attendance is entirely at my own risk. I release and waive any claims now and hereafter against Ruth Ashdown Strong Body Strong Mind.

 

All information collected on this form is held securely and is used only for the purpose of providing services to you. All information held by Ruth Ashdown Strong Body Strong Mind is in accordance with the Privacy Policy and Website Terms and Conditions.

Note: your signature can be drawn on a smart phone, tablet or any touch screen device with your finger or a stylus. On a laptop without touch screen, then you can add with the mouse.

Thank you for submitting these details. If your circumstances change, then please let your instructor know.

Please use the same contact information that you submitted when booking.

bottom of page