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info@cirquefit.co.uk

Class Registration

Please complete this form before attending your first CirqueFit class, you will not be permitted to join in any classes until this form has been received.

If you are a general enquiry about a class, please contact us using the standard contact form or via our Facebook page

New location as of Feb 2023: Pro-Fit, Unit 1 Capital Trade Centre, Walton Le Dale, PR5 4AR (Capital Centre, Behind Dunhelm)

CirqueFit Class Registration - parqFields marked with an * are requiredClass registration form must be completed prior to attending your first class.

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Date of birth

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You need to provide valid email address

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Have you ever been advised by your doctor that you have a heart condition?

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Have you ever been told you should only do physical activity recommended by a doctor?

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Do you ever feel pain in your chest when you do physical activity?

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Do you ever feel faint or have spells of dizziness?

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Is there any other reason why you should not participate in physical activity?

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Have you ever been told that you have high blood pressure?

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Are you currently taking any drugs or medication?

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Are you pregnant or have you had a baby in the last 6 months?

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Have you received any injuries in the last 12 months?

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Is there any other reason why you should not participate in physical activity?

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Doctors note may be required if you answered yes to any of the questions above We ask that you obtain and provide a copy of the note before attending class. You MUST update us if any of the information within this form changes. Thank you.

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I understand that Jams / Aerial Playground events are uninstructed and that I am responsible for my own safety. I will not attempt any moves out of my capability. CirqueFit is responsible for the safety of the rigging and apparatus - I am responsible for my own safety in the moves I carry out.

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Post covid restrictions we still ask that you are respectful to anyone who may wish to continue to social distance. Please continue to keep up the levels of hygiene (clean kit for that day, clean hands and feet) and if you are feeling unwell on the day please do not attend class - for both health and safety reasons.

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“I accept that I am responsible for providing all of my own equipment including but not limited to the pole (which must be purchased from a professional manufacturer and installed as per the manufacturer guidelines), safety mat, clothing and footwear and the instructor will not accept any liability arising out of defective equipment. I acknowledge that the instructor is not present with me and cannot make an adequate assessment of the area where I am exercising and it is my responsibility to ensure the area is clear, safe and free from any hazards which may cause injury to me or to others. I acknowledge that I am responsible for exercising within my own skill and fitness levels. If at any time I feel the moves I am completing are above my current skill level I will cease immediately. Likewise if I feel any discomfort, pain, sickness or dizziness I will immediately stop the activity.”

1) You may attend an online class if you are an existing student Who has completed face to face training up to the relevant level for the activity being undertaken.

2) You must have fully completed this PARQ form to attend

3) You must use a safety mat at all times

4) The lowest part of your body must be no more than 1 metre above the floor at any time.

5) Your poles must be purchased from a professional manufacturer and installed as per the manufacturer guidelines. The instructor does not accept any responsibility for faulty/defective equipment or incorrect installation

6) All participants are to conduct ALL movements within view of the camera lens

7) The coach must record all lesson from start to finish. All recordings must be kept for 30 days

8) The participant is to have all jewellery / watches removed, and be in appropriate activewear.

9) All lessons must include a warm-up (including mobility, stretching and injury-prevention exercises) relating to the level of the class - once the warm up has started you will be unable to join the class.

10) Pre-recorded video lessons, if made available, can not be shared with any non CirqueFit customers

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Today's Date

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Thank you for submiting your Parq form. Please let us know if anything you have submitted changes. We look forward to seeing you in class!

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