​Pre-Participation Questionnaire for:

​Medical Clearance

​Answer the following question to determine your need for Medical Clearance.
​Question 2:
​MEDICAL HISTORY
2: Do you have a medical history of any of the following?
  • Heart Attack
  • Cardiac Catheterization or Angioplasty
  • Heart Transplant
  • Pacemaker, Defibrillator, or Dysrhythmia
  • Heart Valve Disease
  • Heart Failure
  • Congenital Heart Condition
  • End-Stage Renal (kidney) Disease