Skip to content
Find a Gym
Close Find a Gym
Open Find a Gym
Accrington
Basingstoke – Coming soon
Brixton
Burnt Oak – Coming soon
Clapham Road
Colchester
Colliers Wood
Erdington
Farnborough
Farnham – Now open
Greengates
Hammersmith
Leeds Colton – Now open
Levenshulme
Maida Hill – Coming soon
Maidenhead – Coming soon
Newquay
Oxford Rd, Manchester – Now open
Portsmouth
Rothwell
Skipton
Stratford – Coming soon
Wandsworth
Wigan
Accrington
Basingstoke – Coming soon
Brixton
Burnt Oak – Coming soon
Clapham Road
Colchester
Colliers Wood
Erdington
Farnborough
Farnham – Now open
Greengates
Hammersmith
Leeds Colton – Now open
Levenshulme
Maida Hill – Coming soon
Maidenhead – Coming soon
Newquay
Oxford Rd, Manchester – Now open
Portsmouth
Rothwell
Skipton
Stratford – Coming soon
Wandsworth
Wigan
Free Trial
Franchise
Join
PARQ form
This form confirms that you’ve completed a Jetts PARQ.
"
*
" indicates required fields
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Club
*
Select a club
Accrington
Brixton
Clapham Road
Colchester
Colliers Wood
Erdington
Farnborough
Farnham
Greengates
Hammersmith
Leeds Colton
Levenshulme
Newquay
Oxford Rd, Manchester
Portsmouth
Rothwell
Skipton
Wandsworth
Wigan
Date
*
DD slash MM slash YYYY
This Physical Activity Readiness Questionnaire (PARQ) helps to ensure that you are healthy and will not be put at risk from taking part in a fitness programme or regular exercise. Please answer all medical questions honestly so we can ensure your safety.
Has your doctor ever diagnosed you with a heart condition?
*
Yes
No
Do you feel pain in your chest either at rest or during exercise?
*
Yes
No
Do you suffer from a condition that may cause you to lose control of your consciousness such as epilepsy?
*
Yes
No
Do you ever faint or lose balance?
*
Yes
No
Are you on medication to treat high blood pressure?
*
Yes
No
Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
*
Yes
No
Do you have insulin dependent diabetes?
*
Yes
No
Are you 65 years of age or older and not used to being physically active?
*
Yes
No
Is there any other impairment or medical condition which could prevent you from safely exercising or using the facilities unsupervised?
*
Yes
No
If yes, please share any details here:
*
Consent
*
Having answered YES to one of the questions, I confirm that I've sought medical advice, and my GP has agreed that I may exercise.
*
Utilising the free trial at Jetts, I am competent in all aspects of the Club, including but not limited to the following:
Consent
*
Correct usage and locations of emergency devices including duress buttons, Red Phone, intercom and defibrillator/s
*
Consent
*
Emergency Evacuations, First Aid Procedures & Equipment
*
Consent
*
Correct and safe use of each piece of equipment
*
Consent
*
Equipment diagram/sticker explanations regarding guidelines and precautions. Reference has been made to the stickers on each machine
*
Consent
*
Use of the treadmill safety clip: ensure the treadmill is switched off and the belt has stopped running prior to stepping off
*
Consent
*
Personal belongings and storage - open lockers
*
Consent
*
No member is permitted to bring a non-member into the Club
*
Member Signature
*
Please print your name to sign this form
Parent/Guardian Signature (if applicable)
Please print your name to sign this form
Consent
*
I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury.
*
Find a Gym
Free Trial
Franchise
Join
Jetts 24/7 Fitness
Home
Find a Gym
Free Trial
Refer a Mate
Join
Home
Find a Gym
Free Trial
Refer a Mate
Join
Home
Find a Gym
Free Trial
Refer a Mate
Home
Find a Gym
Free Trial
Refer a Mate
Join
Own a Franchise
Jetts Newsroom
Careers
Jetts International
Contact
Own a Franchise
Jetts Newsroom
Careers
Jetts International
Contact
Gyms
Accrington
Basingstoke – Coming soon
Brixton
Burnt Oak – Coming soon
Clapham Road
Colchester
Colliers Wood
Erdington
Farnborough
Farnham – Now open
Greengates
Hammersmith
Leeds Colton – Now open
Levenshulme
Maida Hill – Coming soon
Maidenhead – Coming soon
Newquay
Oxford Rd, Manchester – Now open
Portsmouth
Rothwell
Skipton
Stratford – Coming soon
Wandsworth
Wigan
Accrington
Basingstoke – Coming soon
Brixton
Burnt Oak – Coming soon
Clapham Road
Colchester
Colliers Wood
Erdington
Farnborough
Farnham – Now open
Greengates
Hammersmith
Leeds Colton – Now open
Levenshulme
Maida Hill – Coming soon
Maidenhead – Coming soon
Newquay
Oxford Rd, Manchester – Now open
Portsmouth
Rothwell
Skipton
Stratford – Coming soon
Wandsworth
Wigan
We use cookies to ensure that we give you the best experience on our website. By continuing to use this site we will assume that you agree with our cookie policy.
Ok
Cookie policy
