Fitness Informed Consent Form

Please read through each and every item in this informed consent form and mark each check box provided as confirmation of understanding.

Feel free to ask questions or raise concerns with me any time.

Baz Myers
bazmyerspt@gmail.com
07789073916

General Statement of Program Objectives and Procedures:

I understand that this physical fitness programme includes exercises to build the cardiorespiratory system, the musculoskeletal system, and to improve body composition. Exercises may include aerobic activities (treadmill, walking, running, bicycle riding, rowing machine exercises, group aerobic activity, swimming and other aerobic activities), callisthenic exercises, and weight lifting to improve muscular strength and endurance and flexibility exercises to improve joint range of motion.

Description of Potential Risks and Benefits:

I understand that the reaction of the heart, lung, and blood vessel system to exercise cannot always be predicted with accuracy. I know there is a risk of abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart rate. The use of the weight lifting equipment, and engaging in heavy body calisthenics may lead to musculoskeletal strains, pain and injury if adequate warm-up, gradual progression, and safety procedures are not followed.I understand that a program of regular exercise has benefits for the heart, lungs, muscles and joints. These may include a decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function, and decrease in heart disease.

Waiver

I am in good physical condition and I have no disability, impairment or ailment preventing me from engaging in exercise.The exercises has been explained to me and any questions regarding the programme have been answered to my satisfaction. I understand that I am free to withdraw at any time.

The information obtained will be treated as private and confidential.

Name

First NameLast Name

Email

example@example.com

Date

Signature