I have volunteered to participate in a fitness programme, group training session(s) or fitness testing provided to me through Your Verdure Fitness, Lincoln, which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. In consideration of Verdure’s agreement to instruct and train me, I do here now and forever release and discharge and hereby hold harmless Verdure and their employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from.

 

 

THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT BELONGING TO TRAINER OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT; (3) AND/OR INSTRUCTION OR SUPERVISION.

 

 

I understand and am aware that any exercise programme / exercise session, whether performed indoors, outdoors and/or requiring the use of exercise equipment, is a potentially hazardous activity. I have hereby declared myself physically sound and suffering from no condition (other than those indicated on the PAR-Q form) that would, to my knowledge, prevent me from using equipment or facilities provided by the Your Verdure Fitness coaches.

 

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Any condition/s that may cause problems during exercise have / or will be discussed in full with the Verdure coaches and I have sought medical advice before participating where the Verdure coaches have advised me to do so. I also understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept all risks of injury, regardless of severity, or death.

 

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I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise programme or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a G.P.’s consent prior to beginning this fitness related programme,

 

 

I hereby agree that I am doing so solely at my own risk. In the case where I have sought medical advice, I have been advised that it is safe for me to participate in exercise. In any event, I acknowledge and agree that I assume the risks associated with all fitness related activities and/ or exercises in which I participate.

 

 

This form is an important legal document that explains the risks you are assuming by beginning an exercise programme. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to agreeing to it. 

 

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