New Member Intake

Please complete this short questionnaire before your first class with Only Parkinson’s or Rock Steady Boxing SouthShore. Lisa will review your answers and contact you about the next step.

A physician exercise recommendation is required before you participate. If the signed form is ready, upload it below. If you need help, call or text Lisa at 813-951-2725. This intake does not replace the membership agreement or liability waiver. Do not use this form for urgent symptoms or to send full medical records.