Please fill out the form below. At the end of this form, you will see a link for the PAR-Q Fitness Assessment form. Please click on this link and download and print this form. It can then be either faxed or mailed to WaterWays Fitness.
Section 1: Contact Details
Pool Location of your choice
If your class is available more than once per week, please select the day of your choice (as per Class Schedule )
--None-- Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
First Name
Last Name
Day Phone
Evening Phone
Email:
Address
City
Province
Postal Code
How did you hear about us?
-Select-
Building Management
Friend
Family
Health Professional
Website
Facility Manager
Trainer/Educator
Medical Professional
Globe and Mail
Toronto Star
Brochure
Other
Occupation
Emergency Contact Person
Emergency Contact Phone No.
Section 2: Standard Health Questionnaire
What is your age ?
-Select- 18-25
26-35
36-45
46-55
56-65
65+
I have participated in water fitness before
If you checked the above, please tell us where:
I have been physically active during the last 6 months
If you checked the above, please describe your activity, duration, and frequency per week:
Do you have pain or injuries in any of the following areas:
shoulder:
wrist:
hip:
knee:
ankle:
elbow:
Please list any other injuries here:
I am taking medication currently which may impact my ability to exercise
If you checked the above, please list medications and purpose:
What are your most important health and fitness goals?
to be regularly active
improve flexibility
tone/strengthen muscles
cardiovascular fitness
reduce stress
lose inches
reduce pain
gain weight
rehabilitation
Is there anything else you would like to tell the instructor?
I am comfortable exercising in deep water
Equipment Note: We HIGHLY recommend the purchase of an aqua belt – so you are able to try all the exercises (shallow and deep). A pool noodle is also an option, but the belt provides much more stability and exercise intensity options! WaterWays Online Store...
VERY IMPORTANT! BEFORE YOU CONTINUE: Click here and download the Par-Q Fitness Assesment Form MUST download, print, complete and sign this form. Bring this completed and signed Par-Q Form with you to your first class. You CANNOT under any circumstances, attend class without this competed and signed form.)
I agree that The Waiver and all its terms and conditions are governed exclusively by the laws of the Province or Territory of Canada and I hereby irrevocably submit to the exclusive jurisdiction of the courts of that province or territory, and that I have had sufficient time to read and understand each item and all parts of The Waiver in its entirety and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on myself and my legal representatives.
Please note: Your registration is not yet complete. When you click submit you will be forwarded to Section 2 for payment options and confirmation.
