Informed Consent of Training & Education Program
Description of Potential Risks: I understand that no exercise program is without inherent risks regardless of the care taken by an instructor and that my personal safety cannot be guaranteed by my instructor. I realize that when participating in any exercises, particularly those that induce cardiovascular stress, there is change of serious injury (e.g. heart attack, stroke, or other cardiovascular accidents) or catastrophic incident (e.g. death, paralysis Likewise, I know that engaging in muscular endurance, strength building, and other fitness activities sometimes results in minor injuries (e.g. bruises, musculoskeletal strains and sprains), less frequently, more serious injuries (e.g. muscle tears, herniated discs, torn rotator cuffs, etc and rarely, catastrophic injury (e.g. death, paralysis
Participant Responsibilities: I understand that it is my responsibility to:
- fully disclose any health issues or medications that are relevant to participation in a strenuous exercise program;
- cease exercise and report promptly any unusual feelings (e.g. chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program; and
- clear my participation with my physician.
Participant Acknowledgements: Agreeing to this exercise & education program I acknowledge that my participation is completely voluntary. I understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks. I give consent to certain physical touching that may be necessary to ensure proper technique and body alignment. I understand that the achievement of my health, fitness, or education goals cannot be guaranteed. I have had a voice in planning and approving the activities selected for my exercise program. I have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction. | am in good physical condition, have no impairment, which might prevent my participation in such activities, and have been advised to consult a physician prior to beginning this program. | have been advised to cease exercise immediately if I experience unusual discomfort and feel the need to stop.