2019 AGA PDT PiYo class
Join Elena Tercero, Certified PiYo Instructor, before the PDT begins each morning on Monday, Tuesday and Wednesday for a 30 minute PiYo class. PiYo is a stretch meets strength, pilates and yoga inspired workout set to music. Use your body to sculpt your body. No equipment needed and be prepared to glisten with sweat.
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First Name *
Last Name
Email address *
Attending all classes (Monday - Wednesday)?
Attending class Monday?
Attending class Tuesday?
Attending class Wednesday?
I hereby fully and forever release and discharge the Instructor, its assigns and agents (AGA) from all health claims, suits, losses, damages, or causes of action for damages, for injury or death, including claims for negligence, arising out of or related to my participation in class, present and future therein. *
Required
I understand and warrant, release and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, or comfort, or physical condition if I engage or participate (other than those items fully discussed and cleared by a doctor on the health history form). *
Required
I state that I have had a recent physical checkup and have my personal physician's permission to engage in aerobic and/or anaerobic conditioning.
General Statement of Program Objectives and Procedures:

I understand that this physical fitness program includes exercises to build the cardio respiratory system (heart and lungs), the musculoskeletal system (muscle endurance and strength, and flexibility), and to improve body composition (decrease of body fat in individuals needing to lose fat, with an increase in weight of muscle and bone).

Description of Potential Risks:

I understand that the reaction of the heart, lung, and blood vessel system to exercise cannot always be predicted with accuracy. I know there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. Engaging in heavy body calisthenics may lead to musculoskeletal strains, pain and injury if adequate warm-up, gradual progression, and safety procedures are not followed by me. I understand that the Instructor  shall not be liable for any damages arising from personal injuries sustained by Client during or after the Turbo Kick® or PiYo Live™ program(s). Client  using any exercise equipment during the program does so at his/her own risk. Client assumes full responsibility for any injuries or damages which may occur during any class. These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, as well as damage to the facility.

Description of Potential Benefits:

I understand that a program of regular exercise for the heart, lungs, muscles and joints, has many benefits associated with it. These may include a healthier heart and lungs, decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function, and decrease in heart disease.I have read the foregoing information and understand it. Any questions which may have occurred to me have been answered to my satisfaction.
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