Youth Fitness Consent Form

Youth between the ages of 13 - 15 can use the fitness facilities at Cowichan Aquatic Centre and Fuller Lake Arena with parent or guardian consent and after successful completion of an orientation session. Note - Youth under the age of 13 are not permitted in the fitness facilities.

It is not recommended that teenagers work to 100% muscle failure for safety reasons. We recommend endurance training (12 - 15 reps) with the correct form.

By submitting this form, you confirm that you and the youth named below have both read and understand all information on North Cowichan's Youth Fitness webpage.

Youth's information

First name

Last name

Date of birth

Youth's phone number

Parent or guardian's information

First name

Last name

Phone number

Email address

Confirmation

By signing this form, I confirm:

I am the legal parent or guardian for the youth named on this form.
I have read and understand all information on the Youth Fitness webpage.
I consent to have the youth named on this form participate in a fitness centre orientation and confirm that should the youth not abide by all conditions outlined, privileges can be suspended without refund.

Parent or guardian's signature

Sign above