Informed Consent

Informed Consent for participation in the personal training and/or group exercise for apparently healthy adults

Please print this page, fill out, sign and bring with you to your first appointment

Client Name__________________________________________

Purpose and Explanation of Procedure                                              

I hereby consent to voluntarily engage in a personal fitness program. I also give my consent to be placed in personal fitness training activities which are recommended to me for improvement of my general health and well-being as well as favorable alteration of my body composition. These activities may include but are not limited to strength training, cardiovascular type, kinesthetic and flexibility exercises. The levels of exercise I perform will be based upon my cardiovascular and muscular fitness. I will be given exact personal instructions regarding the amount and type of exercise I should perform. If I am taking medications, I have already so informed Moore Fitness and further agree to inform them promptly of any changes which my doctor or I have made with regard to use of these.

Risks

I have been informed that during my participation in the above described personal fitness training program, I will be asked to complete the physical activities unless symptoms such as fatigue, shortness of breath, chest discomfort or similar occurrences appear. I understand that there exists the risk of bodily injury, including but not limited to injuries to the muscles, ligaments, tendons and joints of the body. At this point, I have been advised that it is my obligation to inform Moore Fitness of my symptoms.

Rights

I have the right to participate in formulating and following through with my fitness program, and to terminate the fitness program at any time.

I acknowledge that I have read and understand this document in its entirety.

 

Client Signature _____________________________________________ Date _______________________

 

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