Physical Activity Consent Form Template

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Participant Information

Name

First

Last

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Age

Gender

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Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Health Conditions or Allergies:

Medications Currently Taking:

In Case of Emergency

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Emergency Contact Name

Emergency Contact Number

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Physician's Name

Physician's Number

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Insurance Provider Name

Insurance Policy Number

Consent and Authorization

Consent

I understand the risks involved with physical activity and my participation is voluntary.

Signature

Date of Signature

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Do you want a basic consent form to provide participants before physical activity? If so, then you need the Physical Activity Consent Form Template from WPForms.

This user-friendly template streamlines essential participant information and consent, so that you can provide a secure and informed approach to physical activities.

Using the Physical Activity Consent Form Template

Here’s a breakdown of this consent form’s functionality and how it can benefit you:

Streamlined Participant Information: This form kicks off by gathering key participant details, including their name, age, gender, contact information, and address. Then, a quick yet comprehensive overview of health conditions, allergies, and current medications ensures that your organizers are well-informed about the participants’ health.
Emergency Preparedness: Safety is crucial in any physical activity, and our form template addresses this with a dedicated section for emergency contacts. Participants provide important information, such as emergency contact names and numbers, as well as their physician’s details. In the unpredictable nature of physical activities, having these contacts readily available can be a lifesaver.
Insurance Information: Acknowledging the importance of unforeseen circumstances, this form template also captures the critical insurance details. Participants can input their insurance provider’s name and policy number so that any potential mishaps are covered.
Informed Consent: Finally, the heart of the form is in the consent and authorization section. Participants confirm their understanding of the risks associated with physical activity, emphasizing the voluntary nature of their participation. A simple checkbox mechanism streamlines this process, and participants seal the deal with their signature and date.

By seamlessly integrating the Physical Activity Consent Form into your website, you demonstrate a commitment to the well-being of your community. If you want to establish transparency, foster trust, and ensure that everyone involved is on the same page regarding the risks and responsibilities, then get this form template from WPForms today!

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