Youth Athlete Forms PAR-Q (Physical Activity Readiness Questionnaire)

Welcome to the Youth Athlete Health & Readiness Center
To ensure safe participation in our training programs, we require all youth athletes to complete a short Physical Activity Readiness Questionnaire (PAR-Q).
Please select the appropriate form below based on age.

[Complete Form -Ages 13-15]

or PDF/Download

Download PDF

Parental/Guardian Form Only

This short form is for younger teens and must be completed and signed by a parent or guardian. It screens for health risks before starting any training or sports performance activities.

Name

(of child)

First Name

Last Name

Age

(of child)

Today's Date

MM

DD

YYYY

Sport

Ages 13-15 Youth PAR-Q

The following pertain to the child only. Please answer YES or NO to the following questions:

1. Has a doctor ever said that you have a heart condition or should only do a physical activity under supervision?

2. Do you ever feel chest pain when doing physical activity?

3. Do you ever feel dizzy or lose your balance during or after exercise?

4. Have you ever had a bone, joint, or muscle injury that was aggravated by physical activity?

5. Do you have asthma or breathing problem that worsens with exercise?

6. Has a doctor ever told you that you should not participate in sports or physical activity?

7. Are you currently taking any medication that may affect your physical activity?

8. Have you had any recent illness, fever, or injury that may affect your ability to train safely?

9. Do you have any other health conditions (diabetes, epilepsy, etc.) the trainer should know about?

Is there any additional health information we should be aware of?

(e.g., past injuries, recent surgeries, chronic conditions, or anything else relevant to your teen’s physical activity)

Emergency Contact Name

Parent/Guardian

First Name

Last Name

Phone Number

Country

(###)

###

####

Email

E-signature Authorization

“By checking this box, I certify that the information is true and I give permission for my child to participate in physical activity with MarineJonFit.”

Yes

Submission Reminder

Once this form is submitted, it will be securely sent to MarineJonFit. If you experience issues, please email a screenshot or PDF copy to marinejonfit@gmail.com.

[Complete Form -Ages 16 -18]

or PDF/Download

Download PDF

Athlete + Parental Consent Required

This version includes additional questions for older teens involved in sport-specific or high-intensity training. A co-signature from the teen athlete is encouraged for accountability, but parental consent is still required.

Full Name

(of teen)

Date of Birth

(of teen)

MM

DD

YYYY

Age

(of teen)

School/Team

(if applicable)

Primary Sport(s)

🩺 Health Screening Questions

The following pertain to the teen only. Please answer YES or NO to the following questions:

1. Has a doctor ever said that your teen has a heart condition or high blood pressure?

2. Does your teen ever feel chest pain during exercise or physical activity?

3. Has your teen ever fainted, felt dizzy, or lost balance during intense activity?

4. Does your teen have asthma or use an inhaler?

5. Has your teen had any joint, bone, or muscle injuries in the past year?

6. Is your teen currently taking any medications?

7. Has your teen ever been advised to avoid physical activity by a medical professional?

Additional Health Information (Optional):

Please use the space below to share any other health-related concerns, past injuries, or relevant information that may help us tailor your teen’s training safely.

🏋️‍♂️ Activity Readiness

1. Has your teen participated in organized sports or strength training before?

2. Is your teen comfortable performing high-intensity drills, running, and lifting weights under supervision?

3. Will your teen be responsible for driving themselves to training?

Emergency Contact Name

First Name

Last Name

Phone Number

Country

(###)

###

####

Email

📄 Consent & Acknowledgment

I understand that my teen will be participating in physical training that may include high-intensity workouts, sport-specific drills, and resistance training. I confirm that all information provided is accurate to the best of my knowledge.

YES

E-signature Authorization

“By checking this box, I certify that the information is true and I give permission for my child to participate in physical activity with MarineJonFit.”

Yes

Submission Reminder

Once this form is submitted, it will be securely sent to MarineJonFit. If you experience issues, please email a screenshot or PDF copy to marinejonfit@gmail.com.