Documentation & Consent

Proper documentation ensures transparency, legal compliance, and parental trust.

• Collect parental consent forms before the first class, outlining risks, emergency contacts, and medical conditions. It is essential that you have emergency contacts for each student and they have completed a par-q form ahead of the session.

• Keep records of attendance, incidents, and communications.
• Maintain confidentiality in all documentation.

Children’s Physical Activity Readiness Questionnaire (PAR-Q)

Child’s Name: ___________________________
Date of Birth: ____ / ____ / ______
Age: _______

Parent/Guardian Name: ___________________________
Contact Number: ___________________________
Emergency Contact (if different): ___________________________

Class Type: ☐ Aerial Hoop ☐ Aerial Pole ☐ Aerial Hammock ☐ Bungee ☐ Other: ___________

Medical History

Please answer the following questions about your child. Circle Yes or No.

1. Does your child have any heart problems or a history of heart disease? Yes / No
2. Has your child ever been diagnosed with high blood pressure or low blood pressure? Yes / No
3. Does your child have any lung or breathing conditions (e.g., asthma)? Yes / No
4. Has your child experienced fainting, dizziness, or seizures? Yes / No
5. Does your child have any bone, joint, or muscle injuries that could affect participation? Yes / No
6. Does your child have any chronic illness, condition, or disability? Yes / No
7. Is your child currently taking any medication that could affect physical activity? Yes / No
8. Has your child had any recent surgeries or hospitalizations in the past 12 months? Yes / No
9. Does your child have any allergies we should be aware of? Yes / No

If you answered YES to any of the above, please provide details:

Physical Activity History

1. Is your child currently active in any other sports, dance, or exercise programs? Yes / No

If yes, please specify: ____________________________________________

1. Does your child have any difficulties with balance, coordination, or flexibility? Yes / No
2. Does your child get easily fatigued or become tired quickly during physical activity? Yes / No

Participation Agreement

I understand that:

• My child will be participating in physical activity that involves aerial apparatus.
• There is an inherent risk in aerial and bungee activities. Bruising during the use of aerial equipment is normal, by signing and participating you are aware that your child may get bruised during the class. The instructors will ensure safety procedures are followed, but I accept responsibility for my child’s participation.
• I must inform the instructor of any medical changes or concerns prior to class.

Parent/Guardian Name: ___________________________
Signature: ___________________________
Date: ____ / ____ / ______

Photography & Filming Consent

From time to time, photographs or videos may be taken during classes or events for use in:

• Marketing materials (social media, website, print)

• Class progress tracking

• Studio displays

Please indicate your preference:

☐ I consent to my child being photographed or filmed for the purposes above.
☐ I do not consent to my child being photographed or filmed.

Parent/Guardian Name: ___________________________
Signature: ___________________________
Date: ____ / ____ / ______