Fit For Umrah Pre-Program Registration

FIT FOR UMRAH

Participant Questionnaire

Ibadah with More Comfort

Please answer honestly so the activities can be adjusted safely for you. You may discuss sensitive information privately with the coach during the Zoom introduction.

Which intake are you attending?

1 Full name
2 Age
3
Last 4 characters of your NRIC

Enter the last 3 digits followed by the final letter. Example: 567A. Please do not enter your full NRIC.

4 Emergency contact
5
Do you have any medical conditions that may affect your ability to exercise?

Examples: heart condition, high blood pressure, diabetes, asthma or other conditions.

6 Have you experienced chest pain, unusual shortness of breath, dizziness or fainting during physical activity?
7
Do you currently have any pain, injury or physical limitation?

Examples: knee, hip, ankle, back or foot problems.

8 Have you had any surgery, hospitalisation or major injury in the past 12 months?
9 Are you currently taking any medication that may affect your exercise, balance, blood pressure or energy levels?
10 How would you describe your current walking ability?
11
What would you most like to improve before Umrah?

Select all that apply.

Important Safety Note

If you answer “Yes” to questions 5, 6, 7, 8 or 9, please inform the coach before participating. You may be advised to seek clearance from your doctor or healthcare professional before starting the programme.

This questionnaire helps us adjust the activities. It does not replace medical advice or a medical assessment.

Please review and confirm

Acknowledgement of Risk, Health Declaration, Release & Indemnity Read full terms

I understand that FIT FOR UMRAH involves physical activity, including but not limited to walking, mobility exercises, balance exercises, strength exercises, functional movements and other forms of physical training.

1. Health Declaration

I confirm that the information I have provided in this questionnaire is true and complete to the best of my knowledge. I understand that it is my responsibility to disclose any medical condition, injury, medication, physical limitation or other circumstance that may affect my ability to participate safely.

I understand that this questionnaire and the FIT FOR UMRAH programme do not constitute medical advice, diagnosis or medical assessment. Where I have a medical condition, symptoms, injury or uncertainty about my ability to exercise safely, I understand that I may be advised to obtain clearance from a doctor or other qualified healthcare professional before participating.

2. Acknowledgement of Inherent Risks

I understand that participation in physical exercise involves inherent risks, including fatigue, muscle soreness, strains, sprains, falls, dizziness and other injuries or medical events that may occur despite reasonable precautions.

I voluntarily choose to participate in FIT FOR UMRAH with knowledge of these inherent risks and agree to follow the safety instructions, exercise modifications and directions provided by the programme coach.

I agree to stop exercising and immediately inform the coach if I experience chest pain, unusual shortness of breath, dizziness, faintness, significant pain or any other concerning symptom.

3. Personal Responsibility

I understand that I am responsible for exercising within my own capabilities and for informing the coach if an activity feels unsafe or unsuitable for me. I will not knowingly participate against medical advice or conceal information that may materially affect my safe participation.

4. Release and Limitation of Liability

To the fullest extent permitted by Singapore law, I accept the ordinary and inherent risks associated with my voluntary participation in the programme and agree that Al Hilal Services LLP, OneOasis Travel Pte Ltd and Coach Muhammad Isa Bin Mohyi Hapipi, together with their respective officers, employees, representatives and agents (“Programme Parties”), will not be responsible for loss, damage or injury arising solely from such inherent risks or from my failure to follow instructions, disclose relevant information, exercise within my capabilities, or comply with medical advice.

Nothing in this acknowledgement excludes or restricts any liability which cannot lawfully be excluded or restricted under Singapore law.

5. Indemnity

To the extent permitted by Singapore law, I agree to indemnify the Programme Parties against reasonable losses, claims, costs or liabilities arising directly from my own wilful misconduct, material failure to follow safety instructions, or knowing failure to disclose relevant health information, except to the extent that such loss, injury or liability was caused by the negligence, breach of duty or other wrongful act of a Programme Party.

6. Emergency Assistance

In the event of an emergency, I authorise the Programme Parties to contact my emergency contact and, where reasonably necessary, to arrange or seek emergency medical assistance on my behalf. I understand that I remain responsible for medical or related expenses incurred on my behalf, except where applicable law provides otherwise.

7. Confirmation

By submitting this form, I confirm that I have read and understood this acknowledgement, have had the opportunity to ask questions where necessary, and voluntarily agree to its terms.

Data Privacy & Consent Read full terms

I consent to Al Hilal Services LLP, OneOasis Travel Pte Ltd and MLC Launchpad / Coach Muhammad Isa Bin Mohyi Hapipi collecting, using and disclosing the personal information I provide in this questionnaire for purposes reasonably related to my participation in FIT FOR UMRAH.

This may include assessing my suitability for programme activities, adapting exercises where appropriate, communicating with me about programme arrangements, responding to health or safety concerns, contacting my emergency contact where reasonably necessary, and maintaining programme administration records.

I understand that the information I provide may include personal data relating to my health, physical condition, medication, injuries, emergency contact details and the last four characters of my NRIC.

My information will only be made available to personnel who reasonably require access for the administration, safety and delivery of the programme, and will not be used for unrelated marketing purposes without separate consent.

Reasonable measures will be taken to protect my personal data against unauthorised access, collection, use, disclosure, copying, modification or disposal. My information will be retained only for as long as reasonably necessary for the purposes for which it was collected or as required by applicable law.

I may contact the programme organisers if I wish to request access to or correction of my personal data, subject to applicable law.

By submitting this form, I confirm that the information I have provided is accurate to the best of my knowledge and that I consent to the collection, use and disclosure of my personal data for the purposes stated above.

Your information will be used to support the safe administration and delivery of FIT FOR UMRAH.

Thank you. Your questionnaire has been submitted.

We have received your FIT FOR UMRAH participant information.

Please inform Coach Isa before participating if there are any changes to your health or physical condition before the programme begins.

We look forward to seeing you at FIT FOR UMRAH.