- I hereby consent to voluntarily engage in boot camp
activities for improvement of my general health and well being. The
levels of exercise that I perform will be based upon my cardio respiratory and
muscular fitness, assessed initially based on information I share with the
trainer. I am also fully aware that I am advised to obtain a physician
consent to exercise. I agree to participate in accordance with the
personal trainer's instruction. Trained, personal fitness trainers will
provide leadership to direct my activities, monitor my performance, and
evaluate my effort.
- If I am taking prescribed medications, I will provide the
trainer with a complete listing of the medications I take. I understand
that the personal trainer will not make medication recommendations, but advise
me to check with my physician to see if there are any contradictions related
to any of the medicines. I agree to inform my personal trainer of any
changes my doctor or I make with regard to the use of prescription
drugs.
- I have been informed that during my participation in Boot
Camp , I will voluntarily complete the physical activities unless symptoms,
such as fatigue, shortness of breath, chest discomfort, or similar occurrences
appear. It is my obligation to inform the trainer of my symptoms.
- I understand that during Boot Camp, physical touching and/or
positioning of my body may be necessary to assess my muscular and bodily
reactions to specific exercises, and to ensure that I am using proper
technique. I express consent to physical contact for these
reasons.
- I understand and have been informed that there exists the
possibility of adverse changes and/or risk of bodily injury occurring during
exercise including, but not limited to:abnormal blood pressure, fainting,
dizziness, disorders of heart rhythm; in rare instances heart attach, stroke,
paralysis, or death; and injuries to muscles, ligaments, tendons, and joints.
I have been told every effort will be made to minimize these occurrences by
proper staff observation. I fully understand and accept the risks, and
knowing these risks, it is my desire to participate as herein indicated and to
assume full responsibility for my participation and actions. I agree to
hold Linda Alexander, Oxygen and Iron Works, Inc., and contractors or
employees of Oxygen and Iron Works or any associated companies harmless for
injury, cardio respiratory incident, or death.
- I, for myself, and on behalf of my spouse, heirs, assigns,
personal representatives and next of kin, hereby release, indemnify and hold
harmless, Linda Alexander, Oxygen and Iron Works, Inc.,and their agents,
contractors, and/or employees ("Releasees") with respect to any and all
injury, disability, or loss or damage to person or property, whether due to or
arising from negligence or carelessness of the "Releasees" or
otherwise.
- I agree that this INFORMED
CONSENT AND RELEASE OF LIABILITY AGREEMENT is to be construed and
governed under the laws of the State of Virginia, U.S.A. and that if any
portion is held invalid, the balance hereof shall continue in full legal force
and effect. In signing this AGREEMENT, I acknowledge that I have read
this entire Agreement, that I understand its terms, that I have had the time
and opportunity to read and ask questions regarding the Agreement. Also,
I have signed the Agreement knowingly and voluntarily, and that by signing it,
I understand that I am giving up substantial legal right I might otherwise
have.
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