Has your doctor ever said that you have a heart condition and recommended only medically supervised physical activity?
Do you feel pain in your chest when you perform physical activity?
Have you had chest pain in the past month when you were not performing any physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not engage in physical activity?
I, the undersigned, acknowledge that my participation in physical activity and personal training sessions at Uplift carries with it the potential for certain risks and hazards, which may include but are not limited to, musculoskeletal injuries, heart attack, and stroke.
I understand and acknowledge that the personal trainer is not a medical professional and cannot provide medical advice or diagnosis. I also understand that the personal trainer may advise me to seek medical clearance from a licensed physician before engaging in physical activity.
I hereby release, discharge, and hold harmless Uplift, its officers, directors, employees, and agents from any and all liability, claims, and causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity or personal training sessions at Uplift.
I understand that Uplift and its employees are not responsible for any lost or stolen personal belongings while I am on the premises.