General Health Questionaire

Terms & Conditions

Please take a moment to carefully read the following information.

I understand that the 1-1 training or group fitness training I receive is provided for the purpose of exercise instruction and guidance.

I will make known all medical conditions and answer all questions honestly and I agree to keep the trainer updated as to any changes in my medical profile, and understand that there shall not be liability on the trainer’s part should I forget to do so.

I understand that I have enrolled in a health and fitness program offered through Gerhard Boshoff and affiliates. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.

I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program.

I acknowledge that my enrollment and subsequent participation in purely voluntary and in no way mandated by Gerhard Boshoff and affiliates.

In consideration of my participation in this program, I hereby release Gerhard Boshoff and affiliates from any claims, demands, and causes of action as a result of my voluntary participation and enrollment of the provided group fitness training services and/or exercise classes.

I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I hereby release Gerhard Boshoff now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death. 

Concent *
Name *
Date Of Birth *
Date Of Birth
It is in your interest to be as truthfull as possible. If you andswer yes to any of the questions please give details at the end of the form
Today's Date
Today's Date