Outdoor Fitness Session Medical & Health Form

Full Name

First name

Last name

Birthday

Day

Month

Year

Phone Number

Emergency Contact Details:

Emergency Contact Name

Emergency Contact Phone

Medical Information

Are you currently taking any medication? Please list all below

Do you have any medical conditions that are impacted by exercise?

Do you suffer from any heart issues?

Have you undergone any surgeries in the past 3 years?

Please list any allergies?

Are you currently suffering from any injuries or pain?

Fitness Questions

How would you describe your current fitness level?

What is your experience with outdoor fitness or group exercise?

What are your fitness goals for these sessions?

Is there anything else you would like your coach to be aware of?

By ticking this box, I confirm that:

I understand that URBN Outdoor Fitness sessions involve physical activity and carry a risk of injury.
I have disclosed any relevant medical conditions or injuries and take full responsibility for monitoring my own health and safety.
I release URBN WELL, its trainers, and associates from liability for any injury, loss, or damage that may occur during participation, except in cases of proven negligence.
I agree to follow all instructions given by the trainer to ensure a safe and enjoyable session.
I am over 18 years old (or have parental/guardian consent if under 18).

I have read and understood the above and agree to participate at my own risk.

Signature

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Date

Day

Month

Year

NEW CLIENT

OUTDOOR FITNESS SESSIONS

Health & Waiver Form CLICK HERE