F.I.T.T. CHALLENGE HEALTH WAIVER & CONSENT
I wish to take part in the "F.I.T.T. Challenge" 10 Day Health Challenge offered herein. I acknowledge the following:
1. If I am taking medication of any kind, I should consult with my physician before making any significant dietary change.
2. A whole-food plant-based diet can cause rapid healing, which may reduce my medication requirements.
3. If I am on medication for diabetes, my physician and I will need to monitor my blood glucose levels closely; and
4. If my glucose levels are falling, my physician may need to reduce my medication, and failure to do so could cause serious harm and even hypoglycemic shock.
I acknowledge that the "F.I.T.T. Challenge" program does not constitute a diagnosis of any disease or any other illness or health condition, which diagnosis can only be made by a qualified physician or licensed healthcare professional.
I should not use this information or results of the "F.I.T.T. Challenge" program as a substitute for seeking further information, diagnosis or treatment from my physician or other qualified healthcare provider.
I agree that the transmission and receipt of any information during or after this program, including any communication via the internet, email, social media, does not constitute or create a doctor patient or other healthcare professional relationship between me and the 'F.I.T.T. Challenge LLC" or the Vineyard Vegetarian Café & Juice Bar LLC and any related program sponsor.
I, for myself and my heirs, personal representatives, successors and assigns, waive and release any and all claims or causes of action for damages or injuries that I have now or may later acquire against "F.I.T.T. Challenge LLC" program and any related program sponsors and any of their respective subsidiaries, affiliates and parent corporations and their respective officers, directors, agents, or employees, resulting from or arising out of my voluntary participation in the "F.I.T.T. Challenge".
If I have any food allergies, it is my responsibility to notify the staff prior to the beginning of the program.
