I have been informed of the potential risk of injury and adverse changes including, but not limited to, increased heart rate, irregular heart rhythm, abnormal blood pressure, fainting, dizziness, sickness, muscular injuries, joint injuries.

By enrolling in this fitness program, I take full responsibility for my health and ability to participate within the program. I understand that there is a risk of injury or even death when participating in any physical exercise program. I certify that I have no known disabilities or illnesses that may be worsened by enrolling in a fitness program.

I understand that the exercises outlined to me during the fitness program are suitable for my ability based on the health information I’ve provided above.
I confirm that all the information provided above is correct and true and I will inform my trainer should anything change at any time.

Any information obtained throughout my physical activity program will be treated as confidential and not release to any other person without my consent.