Gym Medical History Form

Personal Details

Medical History

Do you now have, or have you ever had:

Body Mass Index (BMI)

I have answered the questions in this form accurately and completely. If any of the above conditions change, I will inform the club of those changes. I, knowingly and willingly, assume all risks of injury resulting from my failure to disclose accurate, complete, and updated information in accordance with the form.

Tap or click on the signature above to sign