Register

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

Phone # *

Program *

Member Type *

Agree *

I have read and agree to the Refund Policy and Cheque Policy.

REFUND POLICY: When you purchase an 8-week group fitness package from 3rd Degree Training, (and or personal training) you are eligible for a refund for unused sessions for medical reasons only WITH a copy of a physician's note. (Please note 3rd Degree Training withholds a minimum of $20.00) If you choose not to continue your training package for issues other than health-related, you are NOT eligible for a refund. 3rd Degree Training packages are non-transferable and non-refundable. CHEQUE POLICY: 3rd Degree Training WILL accept a personal cheque for payment. Please be advised that if a cheque is returned for NSF or for any other reason there is an additional $50.00 charge on top of the amount owing.

Emergency Contact Name *

First

Last

Emergency Contact Phone # *

Relationship to you *

Physical Activity Readiness Form (PAR-Q Form) *

Are you between 15 and 69 years old?

We require all new members and returning members (taken more than 2 rounds off) to fill out the PAR-Q form. (A Questionnaire for People Aged 15 to 69) Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor. Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO.

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *

2. Do you feel pain in your chest when you do physical activity? *

3. In the past month, have you had chest pain when you were not doing physical activity? *

4. Do you lose your balance because of dizziness or do you ever lose consciousness? *

5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? *

6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *

7. Do you know of any other reason why you should not do physical activity? *

Consent *

I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.

If you answered YES to one or more questions Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES. • You may be able to do any activity you want — as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. • Find out which community programs are safe and helpful for you. If you answered NO to all questions DELAY BECOMING MUCH MORE ACTIVE: * if you are not feeling well because of a temporary illness such as a cold or a fever — wait until you feel better; or • if you are or may be pregnant — talk to your doctor before you start becoming more active. If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can: • start becoming much more physically active — begin slowly and build up gradually. This is the safest and easiest way to go. • take part in a fitness appraisal — this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active. PLEASE NOTE: If your health changes so that you then answer YES to any of the questions in the PAR-Q, tell your fitness or health professional. Ask whether you should change your physical activity plan. Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire, consult your doctor prior to physical activity. NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes.

Agree *

By clicking submit, I agree that my registration is not complete until I have submitted my payment in person or electronically.

Message