Inform us about your health & fitness goals!

PARQ (Physical Activity Readiness Questionnaire)

Please fill out the following form to help us better understand your needs and goals.

Student's First Name

Last Name

Email Address for class booking.

I certify that I am 18 years of age or have permission from my legal guardian to attend and participate in SAA specific activities.

Do you require a doctors note in order to attend class?

Yes

I agree to wash my hands prior to my class participation and will not attend class if I have any signs or symptoms of contagious illness.

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated rules and customary terms and conditions for participation. I agree to the terms & conditionsView terms of use

Today's Date

I understand that Shangri-La Aerial Arts offers a limit of one make-up class per student per month. Additionally, plans and purchases are not transferable to any other student or person.

What is one of your long term goals that you’d like us to know?

Thanks for submitting!

Inform us about your health & fitness goals!

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