MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness MATRIX Health and Fitness

Pre Exercise Form

Please complete this form prior to training with Matrix Health and Fitness

Your Details
Emergency Contact
Questionnaire






Health & Medical Check

If you have answered YES to any of the above 8 questions, you are required to seek guidance and a MEDICAL CLEARANCE LETTER from your Doctor prior to you undertaking any training with Matrix Health and Fitness.

Based on the information you have supplied in the Health & Medical section above, a MEDICAL CLEARANCE LETTER from your Doctor MAY be required prior to you undertaking any training with Matrix Health and Fitness. Please contact us for more information.

I agree that all information I have provided to Matrix Health and Fitness is of a true and correct nature. I accept that I will not have, nor make any claim of any nature against Matrix Health and Fitness for any illness, injury or adverse change in medical condition or state of health arising directly or indirectly from any program or advice provided by or carried out preparatory to or as part of any program I undertake whilst under the supervision or instruction of Matrix Health and Fitness. Any rights granted to me by law which are not capable of change by agreement remain unaffected by the terms of this agreement.

There was an error with one or more of the fields in this form. Please see the highlighted field/s to correct the issue and try again.