14. Health Declaration

BFunctional Health Declaration

While this form will help screen for potential health issues, we always recommend consulting your doctor before starting a new physical activity regime.

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 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 if 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.

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change your physical activity patterns. If you are over 69 years of age and 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:

Personal Details


If you answered YES to one or more medical questions:
You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health

If you answered NO to one or more medical questions:
It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help you determine your ability levels.


Class & Coaching Objectives

I understand that the online classes and coaching may include exercises to build the cardio respiratory system (heart and lungs), the musculoskeletal system, (which involves muscular endurance, strength and overall flexibility), and to improve body composition (increasing muscle and bone and decreasing body fat).

Exercise includes aerobic activities, such as walking, running, TRX, body-weight training, functional training equipment and resistance training using equipment to improve muscular strength and endurance, as well as flexibility exercises to improve joint range of motion.

Potential Risks

I understand that the reaction of the heart, lung, blood vessels as well as other systems to exercise cannot always be predicted with accuracy. I know there is a risk of certain abnormal changes occurring during the following exercise, which include abnormalities of blood pressure or heart attacks as well as other side effects. Use of weight lifting equipment, and engaging in heavy body calisthenics may lead to musculoskeletal strains, pain and injury if adequate warm-up, gradual progression, and safety procedures are not consistently followed. I understand that the coach shall not be liable for any damages arising from personal injuries sustained by client while and during and/or from an online class or coaching does so at his/her own risk. Client assumes full responsibilities for any injuries or damages which may occur during and/or after training.

I hereby fully and forever release and coach, its assigns and agents from all claims, demands, damages, rights of action, present and future therein.

Potential Benefits

I understand that a program of regular exercise for the heart, lungs, muscles and joints has many benefits associated with it. These may include a decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function and decrease in heart disease. I have read the foregoing information and understand it. Any questions, which may have occurred, have been answered to my satisfaction.


By entering the BFunctional Academy you will effectively be agreeing to make a Health Declaration to confirm that:

• You do not have any COVID-19 symptoms.
• You have not received a positive test in the last seven days.
• You are not waiting on a Coronavirus test result.
• That no member of your household has COVID-19 symptoms or is waiting on a test result.
• And that to the best of your knowledge you have not been in close contact with anyone who is exhibiting Coronavirus symptoms or has tested positive.
• I will not attend a Face to Face session if I do develop these symptoms
• I consent to Contact Tracing and temperature checks.

All members are also expected to maintain social distancing and to keep themselves, fellow members and Coaches safe by adhering to the safety advice and guidance given.

On every visit to BFunctional Academy you will effectively be making the above Health Declaration.


I understand and warrant, release and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, or comfort, or physical condition if I engage or participate (other than those items fully discussed on the health history form).

All information I provide will be kept in confidence. My personal details and medical information will not be made available to third parties unless permission to do so is granted by you.

Please disclose all health information keep your Coach updated and informed of any changes to your health status. This includes all medical conditions; physical and mental, injuries, allergies, and medication you are taking. If necessary, you may need to seek clearance from your doctor before participation in the exercise programme I recommend.

121 sessions cancelled by myself or on my behalf with less than 24 hours notice will incur a 50% cancellation fee which I will be liable to pay.

Cancellation of classes over 2 hours before the class will result in a refund.