Prior to your first class with us, we are asking you to fill out this form

Regular exercise is associated with many health benefits, yet any change of activity may increase the risk of injury. Completion of this questionnaire is a first step when planning to increase the amount of physical activity in your life.


By completing this form I am hereby agree to the following: 

  1. That I am participating in this exercise class offered by SPARC (Sports Physiotherapy & Athletic Rehab Centre Ireland Limited) during which I will receive information about. I recognise that some exercises require physical exertion, which may be strenuous and may cause physical injury. I aware of the risks and/or hazards involved. 

  2. I certify I am physically fit and have no medical condition which would prevent my participation. 

  3. I agree to assume full responsibility for any risks, injuries, damages, know or unknown, which I might incur as a result of participating 

  4. I knowingly and voluntarily  waive any claim that may happen against SPARC, its physiotherapist and owners for any injury, death or damages that may sustain as result of being part of this program. 

  5. I knowingly, voluntarily and expressly waive any claim that I may have against SPARC , its instructors and staff and its owner for any injury, death or damages that may sustain as a result of participation in  SPARC Fitness class


I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. 

Please read each question carefully and answer every question honestly: (Tick the appropriate answer)