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Fitness
Pool
Classes
Tennis
Membership
Café
Spa
Zagreb Ljekarna
News
Guest PARQ
This information must be provided before using any of the facilities at Odyssey Health Club & Spa. Failing to do so will mean forfeiting the match. Thank you for your cooperation.
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Name
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First
Last
Phone
*
Email
*
Address
*
Address Line 1
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City
State / Province / Region
Postal Code
Date of Birth
Health Questions
Has your Doctor ever said you have heart trouble?
*
Yes
No
Do you feel pain in your chest when taking physical activity?
*
Yes
No
Has a Doctor ever said you have high blood pressure or a heart condition?
*
Yes
No
Do you feel faint or have spells of dizziness?
*
Yes
No
Do you suffer from shortness of breath at rest or with mild exertion?
*
Yes
No
Are you currently taking any medication?
*
Yes
No
If yes, please list your medication here:
Are you, or could you be pregnant?
*
Yes
No
Do you know of any other reasons why you should not do physical activity?
*
Yes
No
If yes, please provide further information here:
Emergency Contact Info
Name
*
First
Last
Phone
*
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