LJHA Queenshill Bootcamp

Fill out the questionnaire and you can take part, this will take less than 5 minutes.

Your personal data will be held in accordance with the principles of the 1998 Data Protection Ace.

Question Title

* 1. Your Details (please complete all sections)

Question Title

* 2. Emergency Contact

Question Title

* 3. For most people, physical activity does not pose a hazard. The questions below have been designed to identify the small number of people who should seek medical advice before starting. Please tick if the answer to any of the below is YES.

Question Title

* 4. I understand that if I have answered YES to any of the previous health screening questions, I should seek medical advice. I agree to tell leaders if there is a change in my medical condition. I understand that I take part at my own risk. 

Question Title

* 5. Long term health conditions

Question Title

* 6. Photographic Consent

Question Title

* 7. Have you been referred by a health professional?

Question Title

* 8. (Where applicable) I give consent for my child (under 18) to take part in the Queenshill Bootcamp. I acknowledge the need for obedience and responsible behaviour on their part.

T