Members | The Raw Gym

PRIVATE FITNESS STUDIO BALLYMENA

FITNESS PAR-Q

BOOK IN / FEES

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Call Mark: 07599 467 637
Mark@TheRawGym.co.uk

PARQ & Medical Questionnaire

THIS FORM MUST BE COMPLETED BEFORE YOUR 1ST VISIT

First Name

Email Address

House number/name

Town/city

Last Name

Phone

Street

Postcode

Date of Birth mm/dd/yyyy

weight in KG (if known)

Height in cm

Have you been hospitalized in the last 12 months?

No

Yes

Are you currently suffering from a medical condition, illness, or injury?

No

Yes

Are you currently taking medication

No

Yes

If you answered yes to any question, please elaborate

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete, I also declaire that i will follow all safety and security instructions, whether supervised or unsupervised during exercise.

thank you for completing the PARQ - train safetly and enjoy your resutls.

We're located at near the top of carniny road (the end closest the dogs trust)

+ SECURE FREE PARKING
+ RURAL & PEACEFUL

+ POST WORKOUT PROTEIN PROVIDED
+ TOTAL PRIVACY IN TRAINING

The Raw Gym in Ballymena operates 3 main services, Air Fitness private gym hire - workout on your own or with your family. Personal Training in complete privacy our private studios and Bootcamping group fitness classes.

The Raw Gym Ballymena
201 Carniny Road, Ballymena, BT43 5NJ
Mark McIntyre

REPS Member ID: R0055691

07599467637