I acknowledge that the classes, training sessions, workshops, and various therapeutic sessions can be physically and mentally strenuous, and I voluntarily participate with full knowledge that there is risk to personal injury, property loss, trauma, or death. I am fully aware of the risk and hazards involved. I, my heirs, assigns, and/or legal representatives waive and release Tarah Sparkman, Michelle Cole, and Altitude Physical Therapy & Fitness P.C. and its instructors, therapists, assistants, independent contractors, guests, and employees from any and all liability and responsibility from any injury, accident, illness, legal and medical fees sustained now or in the future resulting from my participation in any activity. I understand that I am giving up my rights to sue or make any claims of any kind whatsoever against Tarah Sparkman, Michelle Cole, and Altitude Physical Therapy & Fitness P.C., and its instructors, therapists, assistants, independent contractors, guests, and employees, for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.
I agree to let Tarah Sparkman, Michelle Cole, and/or Altitude Physical Therapy & Fitness P.C., and instructors, therapists, assistants, independent contractors, guests, and employees, to use my photograph, video, and/or waive any rights of compensation or ownership thereto. I give permission to Altitude Physical Therapy & Fitness P.C. to take photographs for marketing/advertising.
I agree to pay the associated fees and transactions to book a class, book an appointment, and cancel / reschedule an appointment.
There is a variable nonrefundable booking fee for all classes and appointments.
There is a cancellation fee if not cancelled within 4 hours of the appointment of 100%. Full credit refunds can be granted if cancelled greater than 24 hours before the appointment time.
Please arrive to your appointment / class 5-15 minutes prior especially if it's your first time.
We recommend a 20% gratuity fee for all massage therapy services.
Personal Training/Yoga/Group Classes: I understand that my physical fitness program is individually tailored to meet the goals and objectives greed upon by my personal trainer or instructor and me. Group Training Classes: I understand that the physical fitness program is designed to accommodate multiple individuals with varying goals and fitness levels.
I understand that my exercise program will involve participation in a number of types of fitness activities. These activities will vary depending upon the objectives that my personal trainer and I establish, but will probably include: 1) aerobic activities including, but not limited to, the use of treadmills, stationary bicycles, step machines, rowing machines, and bike/run trail; 2) muscular endurance and strength building exercises including, but not limited to, the use of free weights, weight machines, calisthenics, and exercise apparatus; 3) other activities selected by my personal trainer and agreed upon by me; and 4) selected physical fitness and body composition tests.
DESCRIPTION OF POTENTIAL RISKS
I understand that no exercise program is without inherent risks regardless of the care taken by an instructor/personal trainer and that my personal safety cannot be guaranteed by my instructor/personal trainer. I realize that when participating in any exercises, particularly those that induce cardiovascular stress, there is a slight chance 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 frequent, more serious injuries (e.g., muscle tears, herniated disks, torn rotator cuffs), and rarely, catastrophic injury (e.g., death, paralysis).
DESCRIPTION OF POTENTIAL BENEFITS
I understand that a regular exercise program has been shown to have definite benefits to general health and well-being. I know that some of the benefits can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement of cardiovascular function, reduction in the risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility.
PARTICIPANT RESPONSIBILITES
I understand that it is fully my responsibility to: 1) fully disclose and provide a copy of any health issues or medications that are relevant to participation in a strenuous exercise program to my trainer 2) cease exercise and report promptly any unusual feelings (e.g., chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program 3) clear my participation with my physician 4) ensure the workout are for video session is prepared for exercise, free of hazards, and provide feedback regarding any potential problems that exist to proceed safely.
PARTICIPANT ACKNOWLEDGEMENTS
In agreeing to this exercise program:
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I understand that this is not necessarily physical therapy services depending on what I sign up for.
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I understand that my trainer will perform services as a personal trainer and not as a physical therapist.
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I acknowledge that my participation is completely voluntary.
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I understand the potential physical risks involved in the exercise program and
believe that the potential benefits outweigh those risks.
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I give consent to certain physical touch that may be necessary to ensure proper technique and body alignment.
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I understand that the achievement of health or fitness goals cannot be
guaranteed.
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I understand that for virtual/video sessions the recommended platform is: Google Hangouts Meet App. If I do not wish to use this platform, I understand that it is my own responsibility for the lack of privacy there might be with other platforms I choose to use with the trainer.
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I have had a voice in planning and approving the activities selected for my exercise program.
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I understand that if I fail to notify the trainer within 24 hours of the agreed upon session, and/or if I fail to arrive within 30 minutes of the agreed upon time at the agreed upon place, will result in a non-refundable $25 fee. An additional $25 deposit will then need to be placed to proceed with scheduling another session.
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I have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction.
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I am in fair enough physical condition, and I have no severe impairment which might prevent my participation in such activities, and have been advised to consult with a physician prior to beginning this program.
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I have been advised to cease activity immediately if I experience unusual discomfort and feel the need to stop.
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I have read and understand the above agreement; I have been able to ask questions regarding any concerns I might have; I have had those questions answered to my satisfaction; and I am freely signing this agreement on my own free will.
Please SIGN and DATE below that you understand informed consent for FITNESS services:
I have read the release and waiver of liability and fully understand its’ contents. I voluntarily agree to the terms and conditions stated above.
Altitude Physical Therapy & Fitness
