Always call or visit the centre for up to date information about our services.

Health Assessment Form

Health Assessment Form
The name that you use for official purposes, such as your passport or ID card.
This information is used to calculate your age and risk factors for certain health conditions.
This information is used to contact you and provide you with relevant health services in your area.
This information is used to communicate with you and send you reminders or notifications.
This information is used to register you for the lessons you choose at Kewi Learning Centre and send you confirmation, feedback and updates.
The number where you or your guardian can be contacted in case of an emergency during the lessons.
The name of the person who can be contacted in case of an emergency during the lessons.
The name of the lesson or class that you want to sign up for at Kewi Learning Centre.

Please read the following questions carefully and answer yes or no.

Do you have any of the following conditions?

Please read the following questions carefully and Tick answer yes or no.

E.g Football training, Fitness work outs, dance etc
Disclaimer of liability, injuries of all types can occur when participating in physical activities, fitness and training programs, therefore KEWI encourages all members to pursue physical examination by a licensed physician prior to undertaking etc. Stop exercising if you suddenly feel unwell like dizziness, lightheaded, headaches, nausea, pains in the chest etc. Please report to the trainer immediately. Kewi Learning Centre disclaims any liability for incidental or consequential damages and assumes no liability or responsibility for any loss, injury or damage suffered by any person as a result of the use or misuse of any information.
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