MEDICAL HISTORY

Full Name

Country Code

Telephone

City

Zip Code

To be notified in case of emergency

Your age.

Name of establisment you stay on Poros island?

Relatives that developed heart disease before 50 years old

Father Mother Sibling Grandparents

Smoking

Yes No

Surgeries you have been submitted to

Following pharmaceutical treatment during last 6 months?

Yes No

If yes, what kind?

Agreement

After reading the regulations of the gym, I declare that : what i have stated on this form is true. If i do not follow my recommended personal exercise plan, the gym management is not responsible for anything that happens to my health and i will be solely responsible. I have been informed that at certain times of the day there is no staff or trainer at the gym and i am solely responsible for my personal safety.

Discover premier fitness at Poros Island at BM GYM Club, your destination for world-class gym facilities and personalized training. Experience the synergy of cutting-edge Technogym equipment and expert coaching in the heart of Poros, where every workout is a step towards your best self.

Email Us
Reviews Us
Phone
WhatsApp
Viber

× Subject Message Send

Medical History Form