Induction Form

DAY DATE MONTH

Start Time:

Instructor
:

First Name Surname Attended

Y/N

1
CARDIOVASCULAR MACHINES

2
RESISTANCE MACHINES

3
HEALTH & SAFETY CONSIDERATIONS

4
ANY FURTHER COMMENTS

Please, remind members to come dressed in full training kit and to arrive promptly.

With GDPR coming into effect on Friday 25 May, London Metropolitan University (Fitness &
Recreation) will process your data in line with the General Data Protection Regulation (GDPR).
We will use your information for administration and marketing purposes, and will not share your
personal details with third parties without your consent. If you have any comments or concerns
regarding the use of your data, please contact: fitness@londonmet.ac.uk

For official use:

UNIVERSITY FITNESS & RECREATION Card No:
MEMBERSHIP ………………………………………………….
Fitness & Recreation Card
2018/19 (September 18 – September 19)
Please use BLACK ink and PRINT
COURSE/DEPARTMENT: Tel no (optional): Male/Female
FAMILY NAME: FIRST NAME:
EMAIL ADDRESS:
MEMBERSHIP IS NOT REFUNDABLE
Student
When indicating whether you are a member of staff or a student, please note that
Staff University staff undertaking study at the University are classified as staff.
Alumni or
External
Fitness & Recreation Card:
This membership allows you free access to the gym and term time organised fitness and recreation classes.
NOTE: Memberships do not include Sports Hall casual bookings. These are pay as you go.
Please note the following:
1 NEW members MUST undertake an induction prior to using the facilities.
2 Membership card or student/staff ID must be produced on entry to the gym/classes.
3 Members must adhere to the rules as posted in the gym and other facilities.
4 Members must adhere to requests made by fitness & recreation staff.
5 The University reserves the right to suspend or terminate a membership.
6 There are occasions when the gym and classes may not be available or cancelled at short notice. We
endeavour to keep these to a minimum.
Physical Activity Readiness Questionnaire
 PARQ is designed to help you help yourself. Many health benefits are associated with regular exercise, and the
completion of the PARQ is a sensible first step to take if you are planning to increase the amount of physical
activity in your life.
 For most people physical activity should not pose a problem or hazard. PARQ has been designed to identify
the small number of people for whom physical activity might be inappropriate or those who should take
medical advice concerning the type of activity most suitable for them.
 Common sense is your best guide for answering these few questions. Please read them carefully and tick the
YES/NO box opposite the question if it applies to you.
If you answer YES to any question we will require a letter of authorisation from your doctor/health
practitioner.
YES NO
1. Has your doctor ever said that you have a heart condition and recommended only
medically supervised activity?
2. Do you have chest pains brought on by physical activity?
3. Have you developed chest pains in the last month?
4. Do you tend to lose consciousness or fall over as a result of dizziness?
5. Do you have a bone or joint problem that could be aggravated by the proposed physical
activity?
6. Has a doctor ever recommended medication for your blood pressure or heart condition?
7. Do you know of any other reason why you should not do physical activity?

If you have answered NO to all questions accurately, you have reasonable assurance of your present suitability for a
graduated exercise programme. IF YOUR CIRCUMSTANCES CHANGE AT ANY TIME PLEASE INFORM THE SPORTS
STAFF TEAM SO THAT WE CAN AMMEND YOUR PARQ RECORD.

I declare that to the best of my knowledge the information given above is correct. I agree to abide by the rules
indicated above and those posted in the sports centre and other facilities.
Signature: …………………………………………… Date: ……………………………………….………….