Health Risk Assessment (PARQ)

  • Peak Human Performance has developed this questionnaire in an effort to keep your exercise experience safe and free from injury. Please answer the following questions as accurately as you can. Many conditions and medications can affect your health while exercising. Your responses will be treated in a confidential professional and manner. We recommend that you check with your physician before starting any new exercise program.
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  • In case Of An Emergency

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  • MEDICAL HISTORY

  • I do understand that there is a risk of injury associated with participation in any Peak Human Performance (P.H.P.) exercise or sports performance training program and I certify that I am in good physical condition and have no disabilities that hamper my participation. I do hereby assume full responsibility for any and all damages, injuries, or losses that I may sustain or incur if any, while attending or participating in any and all P.H.P. programs. I hereby waive any and all claims against Peak Human Performance, its coaches, trainers, instructors, interns, or partners of said program(s), individually, or otherwise, for any and all claims for injuries or damages that I might sustain. I certify that all of the information provided on this application is correct and true.
  • PARENT OR GUARDIAN MUST SIGN IF THE PARTICIPANT IS UNDER 18. ALL PARTICIPANTS MUST SIGN. SHOULD YOU HAVE ANY QUESTIONS, PLEASE CONTACT US AT 614-918-7476
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