Course Application Form - page 1 of 3

Please read the following questions carefully and answer honestly with YES or NO. Please feel free to discuss any matters concerning the questions with us.

If you have already completed one of our Team Chaos courses then please click here to go straight to our booking page.

Medical  
Do you have any family (i.e. sibling, parent, grandparent) history of heart disease, stroke, cholesterol or high blood pressure?  Yes  No
Do you suffer from any bone or joint problems. Have you had or are you receiving any orthopaedic or physiotherapy treatment?  Yes  No
Have you recently had surgery?  Yes  No
Are you currently on any prescribed medication?  Yes  No
Are you pregnant or have you recently given birth?  Yes  No
Are you currently suffering from any illness?  Yes  No
Do you suffer from chest pain at all?  Yes  No
Do you ever lose balance due to dizziness or ever lose consciousness?  Yes  No
Do you know of any other reason why you should not do physical activity?  Yes

  No
Please give details if answered YES to any of the above questions:
By clicking the box below, I agree that I have understood and answered honestly all of the above questions.
I understand that I should not exercise if I feel unwell and I accept the OutFit Terms & Conditions.
I accept the Terms and Conditions