Welcome to Eagan Outdoor Fitness!

  • Welcome to Eagan Outdoor Fitness!

    Please fill out this document in full to be eligible to participate :-)

  • First is the PARQ+ is a Physical Assessment of Readiness for Exercise

    Note: this information will be kept confidential and only accessed by EOF management.

  • Your Details

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  • Health Questions

  • Has your Doctor ever said you have a heart condition?*
  • Do you have pains in your chest whilst performing physical activity?*
  • Have you had chest pain while not doing physical activity?*
  • Do you lose yoour balance due to dizziness or ever lose consciousness?*
  • Do you have any chronic illnesses or physical limitations?*
  • Do you suffer from high or low blood pressure?*
  • Do you suffer from high cholesterol?*
  • Have you had surgery recently?*
  • Is there a history of coronary disease in your immediate family?*
  • Do you have any chronic illnesses or physical limitations such as asthma or diabetes and whether it affects your ability to exercise?*
  • Do you take any medication (prescription or non-prescription) that affects your ability to exercise?*
  • Do you have any injuries, bone/joint or orthopedic problems (such as back, shoulder, knee etc) that affect your ability to exercise?*
  • Do you know of any other factor which may affect your ability to participate in physical activity?*

  • Emergency Contact

    optional
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  • WAIVER

  • I understand that the training, programs, and events held by Eagan Outdoor Fitness, The City of Eagan, and Inspire Health Coaching (Hereby referred to as "The Company") may put me at risk for accidents, injury, illness, or death. I understand that there are risks inherent in any physical activity, including but not limited to falls and injuries sustained as a result of contact with other participants. I assume all responsibility for such risks.

    I understand it is my responsibility to communicate any physical or psychological concerns that may prevent me from taking part in an activity. I confirm I am physically and mentally able to perform every chosen activity.

    As I have read this waiver and acknowledge these facts, in exchange for the services that Eagan Outdoor Fitness/Inspire Health Coaching will provide me during my participation, I agree to waive any responsibility or liability from The Company, its officers, employees, agents, representatives, organizers. This includes anyone entitled to act on my behalf arising out of my involvement in the training programs and/or events at Eagan Outdoor Fitness/Inspire Health Coaching.

    I have read and understood this Waiver of Liability. I am aware that by agreeing to its terms; I waive any legal claims which might arise from my participation.

  • Photo/Video Release

  • I hereby grant the The Company permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web- based publications, without payment or other consideration.

    I understand and agree that all photos will become the property of the The Company and will not be returned.

    I hereby irrevocably authorize the The Company to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

    I hereby hold harmless, release, and forever discharge the The Company from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

    I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT:

  • Agree*
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  • Should be Empty: