Informed Consent

Congratulations! You are making a commitment to invest in your health and well-being.

Please read the following and sign below to acknowledge your understanding and consent.

In order to assess your general health risk and tailor the training process to your individual needs, you will be asked questions about your, and your family’s, health history. Your privacy is respected. Your information will never be shared without your advanced written consent (except in the event of a medical emergency) and will not be used for any purpose other than adjusting your fitness training program and assessing your health risk as it pertains to your training. An educated trainer is better able to help you safely meet your goals.

In addition, as part of the assessment process, you will be asked to perform one or more tests to measure your level of fitness in several categories (i.e., cardiopulmonary, flexibility, strength, endurance and power). This testing can be as strenuous as exercise and will recur as needed to gauge your progress. Results are compared to norms and your prior results to measure success and keep you motivated.

The assessment process and training sessions include taking measurements and correcting form. Some measurements and/or correction of form may involve appropriate physical contact between you (the undersigned) and the trainer. You will be asked to give verbal permission before any physical contact is initiated.

Proper exercise is fundamental to a long, active and healthy life. The training sessions will involve mild, moderate or even strenuous exertion of your physical body. Intensity will be monitored by the trainer and customized to your health and tolerance. However, any physical activity can result in injury or death for reasons beyond the control of the trainer. Your signature below acknowledges you agree to be honest and forthcoming by reporting any medical history, conditions or injuries that may increase your risk of further injury, illness or death. Communicate whenever you are uncomfortable or in pain so your activity can be modified for your health and safety.

It is recommended that you eat a balanced, light meal or energizing snack 30-45 minutes prior to any workout and that you drink plenty of water all day to stay hydrated. When exercising, wear sneakers and loose-fitting and/or supportive clothing (as needed) in which you will be comfortable during the motions and positioning that are part of the training sessions.

Signed: ______Date: ______

Name: ______