Radiant Roots PAR-Q and Participation Waiver

Date of birth (DD/MM/YYYY)

Emergency contact name

Emergency contact telephone number

Has a doctor ever advised you not to exercise because of a heart condition?

Yes

Do you experience chest pain during physical activity or at rest?

Yes

Do you experience dizziness, loss of balance or fainting?

Yes

Do you have any bone, joint or muscular condition that physical activity might aggravate?

Yes

Do you currently have an injury that could affect safe participation?

Yes

Do you have high blood pressure or take heart or blood pressure medication?

Yes

Are you pregnant, recently postnatal, or returning to exercise after childbirth?

Yes

Do you have a long-term health condition that may affect your participation?

Yes

Do you take medication that may affect balance, coordination or exertion?

Yes

Is there any other reason to seek medical advice before taking part?

Yes

If you answered Yes, please provide relevant details

I confirm I have answered the health-readiness questions accurately and will tell the organiser if anything changes.

I understand that dance, movement and walking involve inherent risks. I choose to participate voluntarily, within my abilities, and will stop if I feel unwell.

I understand this questionnaire does not replace medical advice. If I have concerns about safe participation, I will seek appropriate advice before attending.