Waiver

Medical History

Do you suffer from any existing medical condition or injury or impairment which you believe may impact on your ability to exercise? Yes / No

If yes please provide details when you arrive at the studio.

If you answered yes to the above question it is your responsibility to ensure that you have spoken to your doctor or allied health professional prior to commencing any exercise program.

By signing the Release and Indemnity below you are confirming that you are suitably fit and healthy to participate in the exercise program and a doctor or allied health professional has not advised you otherwise.  Agreement for participating in Personal/Group/Class Fitness, Strength and Conditioning Training.

The “Trainer (s)” refers to the registered Exercise Professional “Michael McGrath”

The “Activity” refers to participation in any personal or group fitness activity and general advices

  • I acknowledge that it is a condition of participation in the activity that I do so at my own risk.

  • I accept all risks and hereby indemnify and release the trainer, their agents, affiliates, employees, members, sponsors, promoters and any person or body directly or indirectly associated with the trainer, against all liability (including liability for their negligence and the negligence of others) claims, demands, and proceedings arising out of or connected with my participation in this activity.

  • This release and indemnity continues forever and binds my heirs, successors, executors, personal representatives and assigns.

  • I acknowledge that participation in this activity may involve risk of serious injury or even death from various causes including over exertion, dehydration, equipment failure, and accidents with equipment and surroundings.

  • I recognise the difficulties associated with the activity and attest I am physically fit to participate safely in the activity and that a qualified medical practitioner has not advised me otherwise.

  • I understand the demanding physical nature of the activity. I am not aware of any medical condition, injury or impairment that will be detrimental to my health if I participate in this activity. In the event that I become aware of any medical condition, injury or impairment that may be detrimental to my health if I participate in this activity my trainer(s) will be immediately informed. By continuing to participate in this activity I accept the risks despite these conditions and am still, and will always, be under the terms of this agreement.

  • If I choose to bring my child into the facility, I understand that I am responsible for looking after my own child. I am aware that it is not the responsibility of the trainer to look after my child under any circumstance. I acknowledge that bringing my child into the facility my result in injury or even death from accidents with equipment.

  • I certify that I am 18 years or older and that I have read this document and fully understand it.

OR

  • As a parent or guardian of the participant. I agree to the above for myself and on behalf of the participant. I indemnify and will keep indemnified any person or body directly or indirectly associated with the conduct of the activity on the terms referred above.


 
Name
Name