EmailMe Form - Team Forms

Physical Activity Readiness Questionnaire (PAR-Q)

We require that athletes and/or parents/guardians of the athletes (if athlete is under 18 years of age) complete the PAR-Q prior to participation in gymnastics. If any of the following questions are answered with a “Yes”, the athlete should be referred to a physician for further evaluation prior to participation.

Student Name *

First Last

Level

1. Has a doctor ever said you have a heart condition and recommended only medically supervised physical activity? *

Yes

No

2. Do you have chest pain brought on by physical activity? *

Yes

No

3. Do you tend to lose consciousness or fall over as a result of dizziness? *

Yes

No

4. Has a doctor ever recommended medication for your blood pressure, heart condition, or other disorder that
could influence your ability to perform gymnastics? *

Yes

No

5. Do you have a bone or joint problem that could be aggravated by gymnastics? *

Yes

No

6. Have you developed chest pain within the past month? *

Yes

No

7. Are you aware, through your own experience or a doctor’s advice, of any other physical reason against your exercising without medical supervision? *

Yes

No

If yes, please explain:

8. Have you ever had a neck injury, head injury or concussion? *

Yes

No

9. Do you have a convulsive disorder? *

Yes

No

10. Do you have uncontrolled asthma? *

Yes

No

11. Do you have an infectious skin disorder *

Yes

No

12. Do you have a history of a liver disorder, spleen disorder, kidney disorder or detached retina *

Yes

No

Parent/Guardian Signature *

First Last

By checking this box, I am confirming the answers to the P.A.R.-Q are true and my printed name as parent/guardian acts as my signature. *

I agree

2024-25 Team Handbook Acknowledgement

We have received and read a copy of the current Universal Gymnasts, Inc. Team Handbook.

By checking this box, we agree and abide by all the rules and policies of the UGI Gymnastics Team Program listed in the handbook. *

We agree

Gymnast T-Shirt Size *

Gymnast Leo Size *

I have made sure my iClass Parent Portal is up to date and accurate. *

Yes