Register for online exercise classes

Collecting your personal details will help provide a class that is safe for you and assist if there is an emergency.  This form will only be used to support your attendance in the online classes
Pre-exercise screening
This assessment does not provide advice on a particular matter, nor does it substitute for advice from an appropriate health professional.  No warranty of safety should result from its use.  The assessment system in no way guarantees against injury or death.  No responsibility or liability whatsoever can be accepted by NSW Health for any loss, damage or injury that may arise from any person acting on any statement or information contained in this assessment.
Thinking about the room that you will be exercising please ensure 
Participant statement
1. I recognise that the Physical Activity Leader is not able to provide me with medical advice regarding my medical fitness.  The information provided by me on this form is used as a guidance the limitations of my ability to exercise and in the case of an emergency.

2 I agree to in no way hold any person, volunteer or the Murrumbidgee Local Health District responsible for any accident, injury, property damage or death that may occur to me whole participating in the online exercise classes.  I understand that I should follow the instructions of the exercise leader and health promotion staff during the sessions to avoid these events.  I understand that I am participating in these online exercise classes in my own home, at my own risk.

3. I understand that the online exercise classes are in line with the Australian Privacy Principles and any information provided will remain private and confidential.  The only exception to that confidentiality is if there are concerns of an individual's safety or the safety of someone else.  In this instance the health promotion team would be required to speak to someone else to ensure the individual's safety.