General Statement of Program Objectives and Procedures:

I understand that this personal training program may include exercises to build the cardiorespiratory system, (heart and lungs), the musculoskeletal system, (involving muscular endurance, strength and overall flexibility), and to improve body composition, (increasing muscle and bone density and decreasing body fat).  Exercise includes aerobic activities, such as but are not limited to; running, cycling, rowing machine, plyometrics, interval and HIIT training, weight lifting using dumbbells, weight machines, barbells and other equipment to improve muscular strength, endurance and flexibility/balance exercises to improve joint range of motion and stability.

Description of Potential Risks

I understand that the reaction of the heart, lungs, blood vessels, as well as other systems cannot always be predicted with accuracy.  I know there is a risk of abnormal changes occurring during exercise, which include but are not limited to; abnormalities of blood pressure, heart attack, death, neck and spinal injuries, musculoskeletal strains, pain and injury, even when such exercises are completed properly.  

Because of the dangers associated with participating in a personal training program, I recognize and agree to follow the personal trainers instruction regarding proper techniques and training, as well as organization rules.

I understand that the personal trainer shall not be liable for damages arising from personal injuries sustained by client while and during and/or from a personal training program and does so at their own risk.  Client assumes full responsibility for any injuries, damages and expenses which may occur during and/or after training.

I certify that I am in good health and have had a physical examination conducted by a licensed medical physician within the last 12 months.  Further, I hereby represent and inform the personal trainer that I have accurately completed the preparticipation health screening history questionnaire or interview and have provided correct responses to the questions indicated on the PAR-Q form or as supplied to the interviewer.  I understand that it is important to provide complete and accurate responses to the questionnaire, form or interviewer and recognize that my failure to do so could lead to unnecessary injury, pain or damages.

I understand and warrant, release and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, comfort or physical condition if I engage or participate (other than those discussed on the health screening or PAR-Q form).

Description of Potential Benefits

I understand that a program of regular heart, lungs, muscles and joints have many benefits associated with it.  These may include, but are not limited to; a decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function and decrease in heart disease and metabolic disease.

I have read the foregoing information and understand it.  Any questions, which may have arisen, have been answered to my satisfaction. 

I hereby consent to voluntarily engage in a cardiorespiratory, musculoskeletal, and flexibility personal training program with Heid Shortis CPT, CGFI, PNL1