By enrolling in a class, you agree to the following:
*Please consult with your physician before beginning any exercise program.
I acknowledge that I have voluntarily chosen to participate in one or more physical exercise or fitness activities (the “Programs”). I acknowledge (i) the nature of the risks of the particular Programs in which I have chosen to participate, and (ii) the strenuous nature of those Programs. I understand, for example, the risks associated with physical injury, abnormal blood pressure, heart attack and even death.
By signing up for the Programs, I agree to this document, I expressly assume all risk for my health and well-being and expressly assume the other risks associated with participating in the Programs. I also hereby release, waive, discharge and covenant not to sue any class instructor, or any of their subsidiaries or any other organization or individual providing or promoting classes, functions, I have read and understand this waiver and express assumption of risk. I have also read, understand, and will adhere to all guidelines and policies in regard to this benefit. This waiver and release shall survive the term of any agreement with instructor or individual.
In the event that my physician has recommended any limitations to my physical activity or I have experienced any of the following conditions, I hereby attest that I have informed my physician of the condition(s) and have obtained express consent from my physician to participate in the Programs.
• Chest pains while at rest and/or during exertion, previous heart attack or high blood pressure
• Any heart or circulatory conditions, such as vascular disease, stroke, chest pain, congestive heart failure, poor circulation to the legs, valvular heart disease, blood clots
• Frequent fast, irregular heartbeats OR very slow heartbeats
• Diabetes • Previous hip or spinal fracture (as an adult)
• Lung disease or shortness of breath after mild exertion, at rest, or in bed • Open cuts on my feet that do not seem to heal
• An unexplained weight loss of ten (10) pounds or more in the past six (6) months
• More than two falls in the past year (no matter what the reason)
• More than one year since I have engaged in regular physical activity