For your doctor to complete
Please have your doctor complete your Health Assessment Form prior to attending any exercise class in U3A. If your appointment with your doctor is by phone, please ask the doctor to email you with approval for you to participate in the class/es in which you are enrolled. This will assist in case of a medical emergency.
Participation in any U3A Nunawading activity is the responsibility of the member. U3A Nunawading Inc. cannot be responsible and accepts no responsibility for the accuracy of the information contained in this form, nor for the consequences of its use or misuse by any person.
Please advise any changes to medical details.