I.
Exercise - Please Sign Below
I desire to engage voluntarily
in an exercise program designed by Destination Fitness LLC in order to attempt
to improve my physical fitness. I understand that the activities are designed
to place a gradually increasing workload on the body and thereby attempt to
improve its fitness. The reaction of the cardiorespiratory system to such
activities cannot be predicted with complete accuracy. There is a risk of
certain changes that might occur during or following exercise. These changes
might include abnormalities of blood pressure or heart rate.
I understand that the purpose of
the exercise program is to develop and maintain fitness, by flexibility and
muscular strength and endurance. All exercise programs include warm-up, strength
training, cardiovascular training and cool down. The programs may involve
walking, jogging, lifting weights and footwork drills. All programs are
designed to place a gradually increased workload on the body tin order to
improve overall fitness. The rate of progression is regulated by rate of
perceived exertion.
I affirm that I am responsible for monitoring my own
condition throughout the tests and/or exercise program, and should any unusual
symptoms occur, I will cease my participation and inform my instructor on the
symptoms.
In signing this consent form, I affirm that I have read
this form in its entirety and that I understand the description of the tests
and their components. I also affirm that my questions regarding the
fitness-testing program have been answered to my satisfaction.
In the event that a medical clearance must be obtained
prior to my participation in the fitness-testing program, I agree to consult my
physician and obtain written permission from my physician prior to beginning
any fitness testing.
Also, in consideration for being allowed to participate
in the fitness training and/or exercise program, I agree to assume the risk of
such testing or exercise, and further agree to hold harmless Destination
Fitness LLC while conducting such testing and/or exercise program from any and
all claims, suits, losses, or related causes of action for damages, including,
but not limited to, such claims that may result from injury or death,
accidental or otherwise, during, or arising in any way from the testing or
exercise program.