University of Technology Sydney

Client declaration form - UTS Sport and Exercise Project Based Learning (PBL)

The services offered as part of the UTS projects are provided by 3rd year undergraduate students undertaking the Bachelor of Exercise & Sport Science degree at the University of Technology Sydney. The students are supervised by experienced exercise science professionals.

Please read the privacy notice, the PBL Information Sheet (PDF, 113KB) and the information below

If you have any questions or are unclear about the policy, please feel free to discuss with a member of the UTS Professional Practice Unit (PPU), whom can be reached at email SportExerciseClinic@uts.edu.au (this is our preferred choice), or phone on 0491 690 445. Clinic staff are available Monday to Friday 9.00am to 5.00pm to answer email and telephone enquiries. There may be times during peak school periods where you will need to leave a message. We will ensure that all voicemails or messages are responded to within 24 hours on working days.

All Participants/Parents or Guardians of the participants (if under 18 years of age) must agree and submit this Declaration to be able to participate in the project activities.

* indicates mandatory fields

Participant's name*

Parent/guardian name*

Which UTS project are you participating in?*

Declaration*

I have read the privacy notice and I understand that I can contact the UTS PPU team to discuss any concerns I may have about the information and my/my child’s participation in the project.
The requirements of the project and the time involved will be outlined to me by my sporting organisation, and I can contact them or the UTS PPU Team with any questions I have about the project.
I understand that the training intervention will be led by current UTS students who are undertaking their final year of a Sport and Exercise Science degree. The students are supervised by an experienced exercise science professional.
I understand that the program aims to provide services in an efficient and evidence-based manner. All participants will be assessed and will have a program prescribed and physically delivered each week as part of their participation.
I understand that my participation in exercise activities may carry risk, and I acknowledge that my failure to adhere to the terms outlined in the PBL Information Sheet (PDF, 113KB) may result in an increased risk of personal injury.
I understand that any information collected will be used to develop exercise programs for myself. This will enable the students to demonstrate competencies in exercise assessment, prescription and/or delivery.
I understand that I am required to commit for the entirety of the UTS program.
I understand that failure to sign and submit this declaration form will result in being unable to participate in this project.

I hereby agree to participate in the UTS Sport and Exercise Science Project Based Learning program.

By Clicking 'Finish' below you will officially submit your booking form.