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Informed Consent

 

GENERAL STATEMENT

I desire to participate voluntarily in a progressive exercise program and/or fitness testing in an effort to assess and improve my physical well-being.

I understand that these physical activities and/ or fitness tests are designed to gradually increase the workload on my circulatory systems as well as my musculoskeletal system in an effort to improve their function.

DESCRIPTION OF POTENTIAL RISKS AND BENEFITS:

The reaction of the system(s) to such activities cannot be predicted with complete accuracy. The possibility of certain unusual changes during or following the exercise sessions does exist. These changes could include abnormalities in blood pressure or heart rate, ineffective heart function, fainting, muscle soreness, muscle strains, and possibly heart attack or cardiac arrest.

The benefits obtained from the exercise program may include a more efficient cardiovascular system, a decreased risk of heart disease and other chronic diseases, improved muscular and skeletal systems, and an increased quality of life.

I realize that it is necessary for me to report, promptly, any signs and/or symptoms indicating abnormalities or distress. I know that if there are any questions about the procedures or methods used during an exercise session or test, I should ask my trainer, Jenn Benson. If I have any doubts, concerns or questions I should ask for further explanation.

I hereby fully and forever release and discharge Travel 2U Fitness, Jenn Benson, its assigns and agents from all claims, demands, damages, rights of action, present further therein.

I warrant, release, and agree that I am in food physical condition and that I have no disability, impairment, or ailment preventing me from engaging in active and/or passive exercise.  I state that I have had a recent physical check-up and my physician’s permission to engage in aerobic and/or anaerobic conditioning.

I have read this form and voluntarily consent to participate in this exercise program and / or fitness test with Travel 2U Fitness, certified personal trainer, Jenn Benson, and realize that I am free to withdraw at any time.

To Accept the terms listed above, please fill out the following form and attach below or send direct to Jenn@Travel2UFitness.com.

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