The exercise sessions you will become involved with and undertake will consist of progressive exercise levels and be determined and regulated by your trainer. The exercise sessions will consist of aerobic and weight training as well as education and instruction. These exercises are designed to place a gradual increasing stress on the body and as such to improve the body's function, although no garauntee can be made. 

    I am aware that all activities are offered as recreational or self directed in nature and I have the right and choice to stop activity at any time. I also assume full responsibility during and after my participation for any risk, discomfort or fatigue that I may experience. I understand that exercise and cardiovascular activity and the response of my body to such activity cannot be predicted. I acknowledge my responsibility and obligation to inform my trainer of any pain, discomfort, fatigue or any other symptoms that I may suffer and that it is my choice to participate in the training program.

    I am aware that all activities are offered as recreational or self directed in nature and I have the right and choice to stop activity at any time. I also assume full responsibility during and after my participation for any risk, discomfort or fatigue that I may experience. I understand that exercise and cardiovascular activity and the response of my body to such activity cannot be predicted. I acknowledge my responsibility and obligation to inform the nearest supervising employee of any pain, discomfort, fatigue or any other symptoms that I may suffer and that it is my choice to participate in the training program. I also understand that my trainer or other staff may not be licensed, certified, or registered instructor and that skill levels may vary and that I accept assumption of all the risk that may imply as my own. 

    The information obtained during training sessions is confidential. However it may be used for statistical purposes as long as my privacy is not compromised

I certify that all above have been answered truthfully to the best of my knowledge; and that I take full responsibility for any non-disclosures whether intentional or otherwise 


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Heart attack, failure or surgery
Congenital, pulmonary, coronary artery disease or heart valve disease
Stroke
Musculoskeletal or nerve problem
Pregnancy
Pacemaker
Pain in the chest, neck or jaw
Shortness of breath with mild exertion
Tachycardia, palpitations or irregular heart beat
Orthopnea, Paroxsomal Nocturnal Dyspnea
Intermittent claudication or thrombosis
Ankle swelling
Heart Murmur
Dizziness
Hysterectomy or post-menopausal
Smoker or quit smoking within the last six months
Blood pressure greater than 140/90
Cholesterol greater than 200 mg/dl
Have diabetes or take medication to control blood sugar
Physically inactive (less than 30 minutes of activity less than three days per week)
Take prescription medication
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