In consideration of i AM fitness’ agreement to instruct and train me, I do here now and ;�R^�)���f%��C����5\�(bj|� g�b��5$���0A1,�Є~�*��r��;(��C/�ø���YXBN��Bp8{����J���慒~�+�rB|�&a^TB��-~ in Exercise Science, Exercise Physiology or Exercise Kinesiology or <> Let’s talk about the legal risks and issues that need to be considered for fitness professionals are working with clients online. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Before they enter the Center, I will complete and sign the Center medical form for each of them. Waiver, Release, and Assumption of Risk Form I, _____, have volunteered to participate in a fitness program provided to me by Diane Simmons (“Trainer”), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. <>>> I have fully read and understand the foregoing, and by signing this document, I hereby agree to all terms stated endobj Waiver, Release and Assumption of Risk Form I, (enter name below) have volunteered to participate in a fitness program provided to me by (enter name below), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. 1 0 obj This Informed Consent and Assumption of Risk and Release of Liability is entered into _____ (“Effective Date”) and is material to the Personal Training Contract and is incorporated herein by reference. 4 0 obj I agree that if I engage in any form of physical exercise at the employee fi tness center I do so at my own risk. 05/24/2013 ASSUMPTION OF THE RISK FORM I agree that as a participant in the Fitness Center at Central Virginia Community College (the “College”), I am responsible for my own behavior and well-being. Because physical exercise can be strenuous and subject to risk of serious injury, Fitness Integrated Therapy urges you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. Initials ____ 2. Only one form (per person) is necessary per semester. ����e#����fZ�P!�$�:*6�=J�ʗV�_ �˗�y��u��\(��R�Ciwk�N:�/�2�XG:o�T�>#���Jb�uqą��1+?&:�`�7�b���7������S����H�n'��m:������|o+4�\r�=?��QY�V9W��S�+��9��(�Y���T;6QR����~�۷a��"ʖ�['dO\� ____(b) I, hereby represent that I am a duly certified personal trainer, holding either a B.A., M.A., or M.S. ҉�����ؼ��� �R~��d��5ċ���A/ �X���;)�?0�J��]ʂ\b��R��� �G��ș�')Y��wN|���_ %PDF-1.7 ���3IDp��EV +�8���ϫ�޾ � [��z��]��_�'��(���;��d��ߞ�&H'�p�#���h���?,� �r��a�+R�}Jx�1��� &/�H%�)`�(p���A>i��d�njq)���,�v�b;� ��>fUFq��" It explains the risks you are assuming by beginning an exercise program. Waiver, Release, and Assumption of Risk Form . 3 0 obj Release of Liability and Assumption of Risk For Fitness Activities at Monroe County Community College If you are taking any of the following classes, you must sign this waiver and submit it prior to the first day of class. Assumption of Risk Indemnification and Hold Harmless Agreement. It explains the risks you are assuming by beginning an exercise program. I assume full responsibility for all risks that may arise out of or result from, directly or indirectly, I, _____, have volunteered to participate in a fitness program provided to me by Jessica Roberts (“Trainer”), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. This form is an important legal document. endobj Assumption of Risk: I understand that the Activities1 in which I (or my child) will engage in cooperation with the U.S. National Whitewater Center2 (the Center) involve inherent and other risks. Health & Fitness Liability Waiver / Informed Consent Form Assumption of Risk and Release of Liability I, the participant specified below, have enrolled in the personalised health and fitness program offered by Joy McClymont trading as Off the Track Training (Off the Track Training). x��\�O�H������Ί�ˏ�)�� ̍�Պ� �%1����UU�yu�P��h �v����w���M���I���nk2��y���v��ɤ��{����=��/�ד��^L�O��qYNz���`�� �u{+�b���A��\���֗������������������@��b�G)��5/��~���]V�����-?�?mo������VX�D��%4?Hptz�g(�Ӄ�a/0X�D��x�R�0�� fy�j%� ��\����|P���Q��x�RF&'L�����@>2���\Y��(iwA�ۗ��;G��� The Fitness Center director/designee has the right to terminate your privileges at any time without notice. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> stream Fitness Class Waiver, Release, and Assumption of Risk Form I, the undersigned, have volunteered to participate in an i AM fitness group fitness class which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. endobj Rev. User’s Representations, Express Assumption of All Risks, and Release of Liability Agreement . In consideration of Trainer’s endobj I recognise that the 2 0 obj Waiver of Claims and Assumption of Risk Form This Waiver of Claims and Assumption of Risk Form (the “Waiver”) executed on this ____ day of _____, 20__, by the undersigned (the “Member”), in favor of Advocate Health and Hospitals Corporation, d/b/a Advocate BroMenn ... exercise equipment involves risk of injury. I accept this condition of participation, and I acknowledge that I have been Client certifies that he/she is of adequate physical condition to participate in physical exercise. Assumption of Risk forms for any person under the age of 18 must be signed by a parent or legal guardian. endobj 3. <> in the Fitness Room is at my/our own risk and I execute this form in consideration for the Authorized Fitness Room User being allowed to access and use the Fitness Room. *V��`O��4�*m#�Y���9k� �t��Y��W��-G��Uء�=sT���X��ri�L#�C� After you have done so, please print your name legibly and sign in the spaces provided. All personnel authorized to use Unmanned Fitness Access are responsible in reporting any misuse, abuse or violation to Security Forces or the FSC staff. -P�.���~��s��v�-4�u`V�{���8�|�MDE����}�M�t��e��ڈ���.�z(0�c6b O_^���S2�g�+�U�@!��E�:�y��#��E��Aka9`cJ��������+tJ��R��.*. 5. exercise, class, or activity. stream �|��Yu�˪�+������Hиc �/O@"�d+$�L����9`%�����P��'OpO���x�2�]�A�3�x4�N. 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