International Sports Sciences Association
This form is adapted from ISSA client assessment materials
Confidentiality Agreement
PLEASE READ THE BELOW STATEMENT AND SIGN WHERE INDICATED.
I,
understand that the information collected by
Name of Trainer
will be used for fitness evaluation purposes and for the design, implementation, progression, and maintenance of an individualized fitness program only. I further understand that all such information is confidential and will not be shared with anyone without my prior written authorization, except in the case of a medical emergency or to the minimum extent necessary to achieve a safe and effective fitness program.
NAME:
SIGNATURE:
DATE:
-
Month
-
Day
Year
Date
SIGNATURE OF PARENT: or GUARDIAN (for participants under the age of majority)
WITNESS:
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