What is your date of birth? * Please note that you must be over 18 to fill out this form. If you are under 18, please ask a parent or guardian to fill this out on your behalf.

Do you suffer from any of the following? High blood pressure Asthma Diabetes Heart condition

Do you suffer from any of the following? Back pain Knee pain Shoulder pain

Do you have any health or medical conditions not mentioned above? If so, please list them.

Do you take any prescription medicine regularly? If so, please list it.

Have you had any previous injuries or surgeries?

Do you exercise regularly currently? * No Yes

Do you participate in other sports? * No Yes

From time to time, participants involved in any activities including gradings/graduations offered by Team Solid Training may be photographed or videotaped for use of our website, social media, or promotional material. If you would like to opt yourself or your child out of this, please do not tick the box. I agree to photography/video release

I understand that the coaches staff and club are not responsible for injury to yourself, someone else or any damage to property through negligence of any member who has not followed important instructions or advice given by our coaches and staff. * I agree with the above.

Express understanding or risk: I the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include but are not limited to injury due to negligence on the part of myself, my training partner, or other people around me; I willingly assume full knowledge of the risks that I am exposing myself to and accept any risks that may result from participation in any activity or class while at, or under direction of Team Solid Training. * I acknowledge the above and that I have no physical impairments, injuries, or illnesses that will endanger me or others.

If I am signing on behalf of a minor, I also give full permission for any person connected to Team Solid Training to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and/or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child, if we are not able to able to get in contact with a parent or guardian. I agree with the above.