Prior to participating in any Wellness Workshop (including Fitness Center hours) please fill out and sign the Wellness Program Waiver below.

If the workshop involves physical activity, please also fill out the Pre-Activity Assessment (PAR-Q).

• email the document to Jason Plourde at jplourde@glendale.edu (please save the document with your first and last name in the title)

or

• drop it in my mailbox (Jason Plourde)

or

• drop it of during staff/faculty hours in the fitness center

Wellness Program Waiver and Pre-Activity Readiness Questionnaire (PAR-Q)

Note: if you have completed the form during a previous semester and no information has changed, you do not need to complete it again.