• Kangatraining Christchurch South & Central

    Pre-Exercise Health Questionnaire
  • Welcome :)

    Please take a minute to fill out the below details which will enable me to ensure you and your baby are best supported throughout our workouts.

    Any questions please don't hesitate to get in touch.

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  • Kangatraining (Post Natal)

  • Do you have a medical clearance to start exercising from your GP?*
  • Are you currently Breastfeeding?*
  • Do you leak when coughing, sneezing or run to the toilet?*
  • Do you feel vaginal heaviness/dragging/bulging?*
  • Have you ever experienced any of the following conditions:*
  • Kangatraining Informed Consent & Waiver

    I hereby understand and acknowledge that the training, programs and activities provided by KANGATRAINING may expose me and my child to many inherent risks, including accidents, injury, illness, or even death. I assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, use or hire of baby slings, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me.

     

    I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict my child’s or my own participation in the activity. I acknowledge that I am physically fit and mentally capable of performing the physical   activity I choose to participate in. I confirm that if I am pregnant I have received written consent from my doctor that I am able to participate in my chosen activities. I confirm that where I have hired the Insured’s baby sling, that my child does not exceed the manufacturer’s recommended maximum weight of 20kg.

     

    After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and KANGATRAINING furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to waive any responsibility, liabilities, demands, or claims of whatsoever nature or cause including negligence, howsoever arising, which I might have, or which may arise against KANGATRAINING, its officers, agents, employees, organizers, representatives, and successors.

     

    I undertake to indemnify and hold harmless and free, KANGATRAINING, from any and all claims of whatsoever nature or cause (including negligence) and however arising, which may be made by myself, my spouse, life partner, children and/or          dependents who suffer any damages (including but not limited to damages arising from or related to personal injury, death and/or loss of support) of whatsoever nature.

     

    I have read and understand the content and important consequences of this document and acknowledge that I am bound thereby.

  • Kangatraining Christchurch South & Central

    Permission to Photograph/Video
  • Throughout classes, you and your child may have the opportunity to be photographed or filmed for Kangatraining publications, such as our website, newsletter, social media or to promote Kangatraining in the form of flyers, posters or in newspapers and other media.

    We would like your permission to use photographs or film taken of you and/or your child to be used for the above purposes. Please complete this permission and return it to your trainer as soon as possible

  • I give permission for any photograph/video/name of myself to be published in:

    ·         Class newsletter

    ·         On the website

    ·         Social Media: Facebook, Instagram, Twitter etc

    ·         Promotional Materials, which may include flyers and posters

    ·         Newspaper and other media

    I give permission for any photograph/video/name of my child to be published in:

    ·         Class newsletter

    ·         On the website

    ·         Social Media: Facebook, Instagram, Twitter etc

    ·         Promotional Materials, which may include flyers and posters

    ·         Newspaper and other media

    I understand and agree that if I do not consent to a photograph/video appearing in any or all of the various publications listed above, if there is a particular event or image I wish to be excluded or if I wish to withdraw my consent at any time it is my responsibility to notify my trainer.

  • Alternatively:
  • Should be Empty: