| Fainting, Blackouts, Epilepsy Or Fits |
|
| Eczema or skin trouble |
|
| Heart trouble or high blood pressure |
|
| Joint, ligaments or tendon trouble |
|
| Claustrophobia or vertigo |
|
| Difficulty in climbing stairs |
|
| Difficulty in writing |
|
| Diabetes |
|
| Back pain |
|
| Asthmatic Attacks or chest problems |
|
| Arthritis, rheumatism or gout |
|
| Difficulty in standing for long periods |
|
| Mental / emotional illness |
|
Do you understand the physical requirements of the course?
On signing this is agree that all information has been provided honestly and have declared any medical issues both physically and mentally.