I hereby state that I have read, understood and answered honestly the pre exercise questionnaire (PARQ screening form). Any questions I had were answered to my full satisfaction. I am aware that this information, along with that provided in the initial consultation is used as the basis to provide a suitable and safe programme of exercise and/or nutritional guidance specific to myself. I understand the need to update Lottie's Lifestyle and Fitness immediately of any changes that may impact on this.
I confirm that I have been given permission to return to exercise following a satisfactory 6 week check up (12 week for C-section clients) by my Doctor.
I recognise that exercise is not without varying degree of risk to muskoskeletal and/or respiratory systems. I understand and have been informed that there exists the possibility of adverse changes during the exercise programme. I have been informed that these changes could include abnormal blood pressure, fainting, disorder of the heart rhythm, stroke and very rare instances of heart attack. I acknowledge that in extreme circumstances these could lead to death.
Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise that has been recommended to me and as such I agree to waive, release, remise and discharge Lottie's Lifestyle and Fitness and its employees of any claims, demands, actions and damages of any kind resulting from sessions led by Lottie's Lifestyle and Fitness. I hereby release Lottie's Lifestyle and Fitness, its employees and any third parties involved, from liability for any claims by me or any third party involved in my participation. I understand that all information that I give will be kept confidential.