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HOME ABOUT CLASSES Ballet BKD Boys DANCE Jazz & Contemporary Tap & Jazz Street Funk Musical Theatre LAMDA Acrobatics Adult Classes Silver Swans Tots BKD Private Tuition SHOW GALLERY AGENCY SHOP FAQ's Info TERM DATES TIMETABLE SHOW 2024 NEWSLETTERS 2025/26 UNIFORM VENUES LEVELS AND STAGES CREWS & COMPANIES Seussical The Musical Legally Blonde Jr EXAMS WORKSHOPS & EVENTS PREVIOUS SHOWS

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PARQ (Physical Activity Readiness Questionnaire)

Every year we need to update the details for your safety and peace of mind and to ensure all our insurance is valid. Thank you for taking the time to fill in the form.

NOTE: This PARQ becomes invalid should any of your answers to any of these questions change.

Name *

First Name

Last Name

Date of Birth *

YYYY

Gender

Female

Male

Non Binary

Address *

Email *

Phone *

Emergency Contact *

Please give a name and phone number

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

Yes

Do you ever experience pain in your chest when doing physical activities? *

Yes

In the past 6 months, have you experienced pain in your chest when NOT doing physical activities? *

Yes

Is your doctor currently prescribing medication for your blood pressure or heart condition? *

Yes

Do experience loss of balance or dizziness or do you ever lose consciousness? *

Yes

Do you have a bone or joint issue (eg hip, knee, ankle) that could be made worse or change by doing physical activities? *

Yes

Are you currently receiving treatment (eg physiotherapy) for any a bone or joint issues? *

Yes

Are you pregnant, postpartum or breastfeeding? *

Yes

Have you had any major illness or injury in the last 5 years? *

Yes

Are you receiving treatment for any diagnosed medical condition? *

Yes

Are you currently taking any prescription medication? *

Yes

If you answered 'YES' to any of the questions in this section please give details of medication or treatment you are receiving. It may be necessary to consult with your doctor to clarify that it is safe for you to become physically active at this current time

If you answered NO to ALL of the 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 determine your ability levels.

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. *

Yes

SIGNATURE: please retype your full name in lieu of providing *

Date *

YYYY

Thank you for completing the PARQ form. All information given will be confidential and stored in alignment with our privacy policy and GDPR guidelines.

BKD Performers is an independent theatre school in Woking which provides classical ballet, dance, drama, acrobatics, LAMDA and singing classes for children and adults of all ages and abilities.

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Woking,

United Kingdom

07711322512 admin@bkdperformers.co.uk

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